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1265969349
DIANA VITALE
LIVONIA, MI
NPI
1265969349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704273525)
Enumeration Date
2017-05-19
Last Update Date
2018-03-17
Business Address
DIANA VITALE NP
31500 SCHOOLCRAFT RD
LIVONIA, MI 48150-1805
Phone number: 734-422-9340
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Mailing Address
DIANA VITALE NP
6549 TOWN CENTER DR STE A
CLARKSTON, MI 48346-4824
Phone number: 248-620-6400
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