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1497345219
CAROLYN BACKES KROUSE
DETROIT, MI
NPI
1497345219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704317212)
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
CAROLYN BACKES KROUSE AGACNP-BC
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3000
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Mailing Address
CAROLYN BACKES KROUSE AGACNP-BC
694 W HAZELHURST ST
FERNDALE, MI 48220-1887
Phone number: 313-434-4277
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