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1447544176
ACE JAMES TACDERAS
MACOMB, MI
NPI
1447544176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: MI 4704234922)
Enumeration Date
2011-05-28
Last Update Date
2015-11-12
Business Address
MR. ACE JAMES TACDERAS NP
17700 23 MILE RD
MACOMB, MI 48044-1154
Phone number: 586-868-9120
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Mailing Address
MR. ACE JAMES TACDERAS NP
17700 23 MILE RD
MACOMB, MI 48044-1154
Phone number: 586-868-9120
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