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1417195264
THERESA MARIE NESTORAK
JACKSON, MI
NPI
1417195264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704087445)
Enumeration Date
2009-02-02
Last Update Date
2009-06-18
Business Address
Mrs. THERESA MARIE NESTORAK RN, ANP-BC
2200 SPRINGPORT RD
JACKSON, MI 49202-1432
Phone number: 517-784-9356
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Mailing Address
Mrs. THERESA MARIE NESTORAK RN, ANP-BC
2298 SPRINGPORT RD SUITE B
JACKSON, MI 49202-1475
Phone number: 517-784-3950
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