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1346848827
TANYA L LOCKE
DETROIT, MI
NPI
1346848827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MI 4704309664)
Enumeration Date
2020-10-15
Last Update Date
2020-10-16
Business Address
TANYA L LOCKE
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-4000
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Mailing Address
TANYA L LOCKE
2800 LIVERNOIS RD STE 500
TROY, MI 48083-1219
Phone number:
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