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1063460590
MARIA SOTO
JACKSON, MI
NPI
1063460590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101008464)
Enumeration Date
2006-05-05
Last Update Date
2011-12-21
Business Address
-- MARIA SOTO DO
1401 W NORTH ST
JACKSON, MI 49202-3135
Phone number: 517-782-2555
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Mailing Address
-- MARIA SOTO DO
PO BOX 67000 DEPT 272801
DETROIT, MI 48267-2728
Phone number: 517-782-2555
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