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1417123100
GENERAL MEDICINE OF LA NURSE PRACTITIONERS, P.C.
NOVI, MI
NPI
1417123100
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Entity Type
Organization
Authorized Contact
THOMAS PROSE
President
248-662-0250
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2008-05-02
Last Update Date
2008-05-02
Business Address
GENERAL MEDICINE OF LA NURSE PRACTITIONERS, P.C.
21333 HAGGERTY RD SUITE 150
NOVI, MI 48375-5510
Phone number: 248-662-0250
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Mailing Address
GENERAL MEDICINE OF LA NURSE PRACTITIONERS, P.C.
21333 HAGGERTY RD SUITE 150
NOVI, MI 48375-5510
Phone number: 248-662-0250
Copy
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