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1669993150
LAURENE KOCIS LISKA
GARDEN CITY, MI
NPI
1669993150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101023605)
Enumeration Date
2017-07-05
Last Update Date
2017-07-05
Business Address
LAURENE KOCIS LISKA DO
6245 INKSTER RD
GARDEN CITY, MI 48135-4001
Phone number: 734-458-4486
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Mailing Address
LAURENE KOCIS LISKA DO
6245 INKSTER RD
GARDEN CITY, MI 48135-4001
Phone number:
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