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1558739367
ALICIA DEROSO
LANSING, MI
NPI
1558739367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704265519)
Enumeration Date
2015-09-10
Last Update Date
2016-08-02
Business Address
-- ALICIA DEROSO CRNA
1215 E MICHIGAN AVE
LANSING, MI 48912-1811
Phone number: 517-253-3050
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Mailing Address
-- ALICIA DEROSO CRNA
3470 S SHORE DR
LAPEER, MI 48446-9755
Phone number: 248-396-3139
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