EBAN JAMES MACKEY

LANSING, MI
NPI1558028027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MI  4704280061)
Enumeration Date2021-11-19
Last Update Date2022-03-22
Business Address
EBAN JAMES MACKEY
3475 BELLE CHASE WAY
LANSING, MI 48911-4252
Phone number: 517-882-3732
Mailing Address
EBAN JAMES MACKEY
544 EAST DR
MARSHALL, MI 49068-1363
Phone number: 269-274-2963
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