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1376269670
TIMOTHY JOHN HIETALA
DETROIT, MI
NPI
1376269670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: MI 4704320232)
Enumeration Date
2022-10-18
Last Update Date
2022-10-18
Business Address
TIMOTHY JOHN HIETALA BSN RN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
TIMOTHY JOHN HIETALA BSN RN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number:
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