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1588013973
BROOKE WANSHON
DEARBORN, MI
NPI
1588013973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704296967)
Enumeration Date
2016-06-07
Last Update Date
2016-06-07
Business Address
-- BROOKE WANSHON MS, RN, CPNP-PC
2331 MONROE ST
DEARBORN, MI 48124-3009
Phone number: 734-673-1560
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Mailing Address
-- BROOKE WANSHON MS, RN, CPNP-PC
11022 HILLCREST ST
LIVONIA, MI 48150-2922
Phone number: 734-673-1560
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