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1649494956
TRACIE VESTA BURCH
SOUTH LYON, MI
NPI
1649494956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301086056)
Enumeration Date
2007-04-11
Last Update Date
2007-07-23
Business Address
Dr. TRACIE VESTA BURCH M.D.
210 N LAFAYETTE ST
SOUTH LYON, MI 48178-2048
Phone number: 248-437-1744
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Mailing Address
Dr. TRACIE VESTA BURCH M.D.
210 N LAFAYETTE ST
SOUTH LYON, MI 48178-2048
Phone number: 248-437-1744
Copy
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