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1386912632
ELIZABETH DALE
WEST BLOOMFIELD, MI
NPI
1386912632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704120400)
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
-- ELIZABETH DALE ANP-BC
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 248-661-7089
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Mailing Address
-- ELIZABETH DALE ANP-BC
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 248-661-7089
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