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1083106140
CARLY LYNN KASSA
PONTIAC, MI
NPI
1083106140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: MI 4704297338)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
MS. CARLY LYNN KASSA
50 N PERRY ST
PONTIAC, MI 48342-2217
Phone number: 248-338-5645
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Mailing Address
MS. CARLY LYNN KASSA
232 GRACE AVUENUE
ROCHESTER HILLS, MI 48307
Phone number: 248-227-2897
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