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1699894592
JENNIFER WEDGE
DETROIT, MI
NPI
1699894592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704226381)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
JENNIFER WEDGE CNP
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 800-527-6266
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Mailing Address
JENNIFER WEDGE CNP
3990 JOHN R ST # 10WN
DETROIT, MI 48201-2018
Phone number: 313-576-8049
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