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1649356551
MELISSA SUSAN BOOTHROYD
WARREN, MI
NPI
1649356551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: MI 4704121618)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
MS. MELISSA SUSAN BOOTHROYD PNP
23200 RYAN RD FITZGERALD HEALTH CENTER
WARREN, MI 48091-4551
Phone number: 586-759-9070
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Mailing Address
MS. MELISSA SUSAN BOOTHROYD PNP
29085 OAK POINT DR
FARMINGTON HILLS, MI 48331-2715
Phone number: 248-489-8632
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