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1427157171
CYNTHIA J PETRACK
SOUTHFIELD, MI
NPI
1427157171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704130122)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
Mrs. CYNTHIA J PETRACK APRN-BC
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-8025
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Mailing Address
Mrs. CYNTHIA J PETRACK APRN-BC
19010 HILTON DR
SOUTHFIELD, MI 48075-1721
Phone number: 248-352-5831
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