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1093925398
JODY WELLWOOD
DETROIT, MI
NPI
1093925398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704169894)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Ms. JODY WELLWOOD PA-C
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1340
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Mailing Address
Ms. JODY WELLWOOD PA-C
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1340
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