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1194189977
JACQUELINE DEROSE
EAST LANSING, MI
NPI
1194189977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-04-07
Last Update Date
2016-04-07
Business Address
-- JACQUELINE DEROSE
2775 E LANSING DR
EAST LANSING, MI 48823-7755
Phone number: 517-332-1616
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Mailing Address
-- JACQUELINE DEROSE
2775 E LANSING DR
EAST LANSING, MI 48823-7755
Phone number: 517-332-1616
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