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1174879951
JILLIAN N PETKUS
OXFORD, MI
NPI
1174879951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704266490)
Enumeration Date
2012-07-30
Last Update Date
2014-08-06
Business Address
-- JILLIAN N PETKUS FNP-BC
72 S WASHINGTON ST
OXFORD, MI 48371-6421
Phone number: 248-236-8333
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Mailing Address
-- JILLIAN N PETKUS FNP-BC
215 E AUBURN RD
ROCHESTER HILLS, MI 48307-5260
Phone number: 248-853-2009
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MOBICARE, LLC