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1013472422
ELLEN O MCGUIRE
TROY, MI
NPI
1013472422
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Former Name
ELLEN O MARTINES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601009003)
Enumeration Date
2019-02-11
Last Update Date
2024-03-13
Business Address
ELLEN O MCGUIRE
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-4866
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Mailing Address
ELLEN O MCGUIRE
26901 BEAUMONT BLVD SUITE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1861
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