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1265743793
JULIE M LATA DO PC
MOUNT CLEMENS, MI
NPI
1265743793
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Entity Type
Organization
Authorized Contact
JULIE M LATA
Owner
586-323-3022
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 15101016802)
Enumeration Date
2010-06-30
Last Update Date
2010-06-30
Business Address
JULIE M LATA DO PC
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043-2920
Phone number: 586-493-8101
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Mailing Address
JULIE M LATA DO PC
12175 NOONAN CT
UTICA, MI 48315-5871
Phone number: 586-323-3022
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