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1558368910
LAURA LUCILLE MCCULLY
JACKSON, MI
NPI
1558368910
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Former Name
LAURA LUCILLE GAMBOGI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MI 4704201104)
Enumeration Date
2005-06-30
Last Update Date
2007-07-09
Business Address
Ms. LAURA LUCILLE MCCULLY CNM
2200 SPRINGPORT RD
JACKSON, MI 49202-1432
Phone number: 517-784-9356
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Mailing Address
Ms. LAURA LUCILLE MCCULLY CNM
2298 SPRINGPORT RD STE B
JACKSON, MI 49202-1475
Phone number: 517-784-3950
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