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Individual

LANCE COUSINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CERTIFIED TRAINER

Contact information

Practice address
937 HENLEY STREET, BIRMINGHAM, MI 48009
(248) 766-3541
Mailing address
937 HENLEY STREET, BIRMINGHAM, MI 48009
(248) 766-3541

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
05/23/2024
Last updated
05/23/2024
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