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1427894856
KEITH A DOREMUS
ANN ARBOR, MI
NPI
1427894856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MI 4704342157)
Enumeration Date
2024-07-04
Last Update Date
2024-07-04
Business Address
KEITH A DOREMUS AGACNP
500 S STATE ST
ANN ARBOR, MI 48109-1382
Phone number: 734-764-1817
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Mailing Address
KEITH A DOREMUS AGACNP
215 S STATE RD
OMER, MI 48749-9711
Phone number: 734-985-4143
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