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1609632256
PENSRI P GELETKA
SOUTHGATE, MI
NPI
1609632256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704299683NSA2403O)
Enumeration Date
2024-02-22
Last Update Date
2024-06-05
Business Address
MRS. PENSRI P GELETKA
15150 FORT ST
SOUTHGATE, MI 48195-1302
Phone number: 734-282-4800
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Mailing Address
MRS. PENSRI P GELETKA
6128 SANDSHORES DR
TROY, MI 48085-1342
Phone number: 586-863-2315
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