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1477145258
LISA CAMILLE ROUSSEAU
DETROIT, MI
NPI
1477145258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704307865)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
Ms. LISA CAMILLE ROUSSEAU CRNA
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-2600
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Mailing Address
Ms. LISA CAMILLE ROUSSEAU CRNA
5075 GREAT FOSTERS DR
ROCHESTER, MI 48306-2437
Phone number: 586-381-0674
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