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1528506011
LISA NICOLE YAXLEY
ROYAL OAK, MI
NPI
1528506011
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Other Name
LISA NICOLE POLLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704299631)
Enumeration Date
2017-02-06
Last Update Date
2019-09-30
Business Address
LISA NICOLE YAXLEY NP-C
3555 W 13 MILE RD STE N120
ROYAL OAK, MI 48073-6710
Phone number: 248-551-1701
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Mailing Address
LISA NICOLE YAXLEY NP-C
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1867
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