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1437348661
MARY IRENE MCCORMICK
DETROIT, MI
NPI
1437348661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704221993)
Enumeration Date
2007-10-24
Last Update Date
2012-12-04
Business Address
-- MARY IRENE MCCORMICK N.P.
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920
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Mailing Address
-- MARY IRENE MCCORMICK N.P.
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920
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