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1649624743
LISA MARIE SMITH
DETROIT, MI
NPI
1649624743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704272952)
Enumeration Date
2016-04-15
Last Update Date
2017-02-22
Business Address
-- LISA MARIE SMITH NP
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920
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Mailing Address
-- LISA MARIE SMITH NP
5635 W FORT ST
DETROIT, MI 48209-3154
Phone number: 313-849-3920
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