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1205062049
JANE SULLA
WEST BLOOMFIELD, MI
NPI
1205062049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704270879)
Enumeration Date
2009-06-08
Last Update Date
2015-03-18
Business Address
-- JANE SULLA FNP
1845 MIDCHESTER DR
WEST BLOOMFIELD, MI 48324-1138
Phone number: 248-722-4644
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Mailing Address
-- JANE SULLA FNP
1845 MIDCHESTER DR
WEST BLOOMFIELD, MI 48324-1138
Phone number: 248-722-4644
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