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Individual

GRACE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2284 S BALLENGER HWY, STE. F, FLINT, MI 48503-3446
(810) 235-5181
Mailing address
418 S MAIN ST, DAVISON, MI 48423-1608
(810) 691-1719

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
7501004326
MI

Other

Enumeration date
08/05/2015
Last updated
08/05/2015
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