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1457306987
CAROL LYNN PIESIK
JACKSON, MI
NPI
1457306987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003005)
Enumeration Date
2006-05-23
Last Update Date
2008-03-14
Business Address
CAROL LYNN PIESIK PA
110 N ELM AVE
JACKSON, MI 49202-3571
Phone number: 517-788-6760
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Mailing Address
CAROL LYNN PIESIK PA
DEPARTMENT 272801 PO BOX 67000
DETROIT, MI 48267-2728
Phone number: 517-841-6913
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