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1295893055
CAROLINE LOUISE DERRICK
CLINTON TOWNSHIP, MI
NPI
1295893055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704234693)
Enumeration Date
2006-12-05
Last Update Date
2021-02-02
Business Address
Mrs. CAROLINE LOUISE DERRICK N.P.
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3504
Phone number: 586-203-1195
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Mailing Address
Mrs. CAROLINE LOUISE DERRICK N.P.
15674 GROSVENOR LN
MACOMB, MI 48044-1518
Phone number: 586-943-3999
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