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1457346587
MARY WALCZYK
DETROIT, MI
NPI
1457346587
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704164881)
Enumeration Date
2005-09-14
Last Update Date
2007-07-08
Business Address
-- MARY WALCZYK CRNA
4201 SAINT ANTOINE ST
DETROIT, MI 48201-2153
Phone number: 952-442-9770
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Mailing Address
-- MARY WALCZYK CRNA
PO BOX 67000 DEPT 203401
DETROIT, MI 48267-0002
Phone number: 952-442-9770
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