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1629729843
KALLYN JEAN LUCERO
MIDLAND, MI
NPI
1629729843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704286472)
Enumeration Date
2022-01-11
Last Update Date
2022-10-25
Business Address
MRS. KALLYN JEAN LUCERO NP
3009 N SAGINAW RD
MIDLAND, MI 48640-4555
Phone number: 989-633-1350
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Mailing Address
MRS. KALLYN JEAN LUCERO NP
1180 N CLEAR LAKE RD
WEST BRANCH, MI 48661-9499
Phone number: 989-891-6840
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