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Individual

FRANCESCO S IAQUINTA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
37450 SCHOOLCRAFT RD, LIVONIA, MI 48150-1082
(734) 458-4601
Mailing address
16732 FAIRFIELD ST, LIVONIA, MI 48154-2906
(734) 718-5755

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P390301
MI
101Y00000X
Counselor

Other

Enumeration date
08/17/2020
Last updated
08/17/2020
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