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1659970002
NECOLA SELENA TABLE
HARPER WOODS, MI
NPI
1659970002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704250204)
Enumeration Date
2020-10-17
Last Update Date
2023-10-06
Business Address
Ms. NECOLA SELENA TABLE FNP-C
18985 WOODCREST ST
HARPER WOODS, MI 48225-2062
Phone number: 313-978-8696
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Mailing Address
Ms. NECOLA SELENA TABLE FNP-C
18985 WOODCREST ST
HARPER WOODS, MI 48225-2062
Phone number: 313-978-8696
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