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1104371020
PRAISY JACOB
MACOMB, MI
NPI
1104371020
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Former Name
PRAISY SAMUEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704281141)
Enumeration Date
2016-08-20
Last Update Date
2016-08-20
Business Address
MRS. PRAISY JACOB FNP-BC
50861 NESTING RIDGE DR
MACOMB, MI 48044-1385
Phone number: 586-764-9892
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Mailing Address
MRS. PRAISY JACOB FNP-BC
50861 NESTING RIDGE DR
MACOMB, MI 48044-1385
Phone number: 586-764-9892
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