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1023536190
PHILIP ROSS LEPINE
PORT HURON, MI
NPI
1023536190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704270813)
Enumeration Date
2017-09-08
Last Update Date
2018-03-17
Business Address
PHILIP ROSS LEPINE CRNA
1221 PINE GROVE AVE
PORT HURON, MI 48060-3511
Phone number: 810-987-5000
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Mailing Address
PHILIP ROSS LEPINE CRNA
911 GEORGIA AVE
MARYSVILLE, MI 48040-1277
Phone number:
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