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1265114227
JEFFREY RAYNER LAPENNAS
DETROIT, MI
NPI
1265114227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704394815)
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
Mr. JEFFREY RAYNER LAPENNAS NP
19100 W 7 MILE RD
DETROIT, MI 48219-2758
Phone number: 313-533-5002
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Mailing Address
Mr. JEFFREY RAYNER LAPENNAS NP
19100 W 7 MILE RD
DETROIT, MI 48219-2758
Phone number: 313-533-5002
Copy
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