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1639211873
LAURIE L BANIA
DETROIT, MI
NPI
1639211873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MI 4704109980)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
-- LAURIE L BANIA
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-0453
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Mailing Address
-- LAURIE L BANIA
5051 WHIPPLE LAKE RD
CLARKSTON, MI 48348-3156
Phone number: 248-394-9839
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