JOCK MICHAEL THACKER

DETROIT, MI
NPI1306409776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-20
Last Update Date2019-04-20
Business Address
JOCK MICHAEL THACKER
4201 ST. ANTOINE STREET 6C, UNIVERSITY HEALTH CENTER
DETROIT, MI 48201
Phone number: 313-577-5009
Mailing Address
JOCK MICHAEL THACKER
2600 MILSCOTT DR APT 2307
DECATUR, GA 30033-6040
Phone number: 205-746-2453
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