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1356610729
MARGARET LAKE
PORT HURON, MI
NPI
1356610729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704252567)
Enumeration Date
2011-12-14
Last Update Date
2017-08-11
Business Address
-- MARGARET LAKE
2601 ELECTRIC AVE
PORT HURON, MI 48060-6587
Phone number: 810-985-1500
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Mailing Address
-- MARGARET LAKE
3130 POPLAR ST
PORT HURON, MI 48060-2050
Phone number: 810-689-8049
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