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1134343999
PAULETTE MARIA LASALLE
DETROIT, MI
NPI
1134343999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704124035)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Ms. PAULETTE MARIA LASALLE RN CNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
Ms. PAULETTE MARIA LASALLE RN CNP
1057 HERITAGE RD
KINGSVILLE, ONTARIO N9Y2E6
Phone number: 519-733-3167
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