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1326874199
MICHELLE LAURYN DEPRIEST
CANTON, MI
NPI
1326874199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601012735)
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
MICHELLE LAURYN DEPRIEST
51170 FORD RD
CANTON, MI 48187-4602
Phone number: 734-260-5766
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Mailing Address
MICHELLE LAURYN DEPRIEST
51170 FORD RD
CANTON, MI 48187-4602
Phone number: 734-260-5766
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