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1528587615
LANE BERNICE JUDGE
MONROE, MI
NPI
1528587615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704316371)
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
LANE BERNICE JUDGE FNP-C
15506 S TELEGRAPH RD
MONROE, MI 48161-5520
Phone number: 734-682-5243
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Mailing Address
LANE BERNICE JUDGE FNP-C
4057 CHERYL DR
COMMERCE TWP, MI 48382-1759
Phone number: 248-660-4981
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