JACQUELYN NICOLE PROKOP

MIDLAND, MI
NPI1144778812
Former NameJACQUELYN NICOLE MEEHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601007908)
Enumeration Date2016-09-12
Last Update Date2019-01-22
Business Address
JACQUELYN NICOLE PROKOP PA
301 W WACKERLY ST
MIDLAND, MI 48640-2761
Phone number: 989-832-0900
Mailing Address
JACQUELYN NICOLE PROKOP PA
301 W WACKERLY ST
MIDLAND, MI 48640-2761
Phone number: 989-832-0900
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