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1144828088
MICAYLA CROCKETT
MOUNT CLEMENS, MI
NPI
1144828088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704329743)
Enumeration Date
2020-10-13
Last Update Date
2022-06-10
Business Address
MICAYLA CROCKETT NP
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043-2920
Phone number: 586-493-8000
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Mailing Address
MICAYLA CROCKETT NP
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043-2920
Phone number: 586-493-8000
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