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Search › Michigan › 103TC0700X

George Mantas, L.L.P

NPI 1316040256 · on the registry since 2006 · sole proprietor

Practice

Address
1001 Military St
Port Huron, MI 48060
Phone
(810) 985-5168
Fax
(810) 985-9011
Organisation at this address
Impact
Impact Services
Incorporation To Maximize Personal Achievement With Community Training
Incorporation To Maximize Personal Achievement With Community Training
Inferred from a shared address, not stated in the registry.
Clinicians at this address
87

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TA0400X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan