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1700518578
TIA LAVELLE MILLS
MARQUETTE, MI
NPI
1700518578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704290339)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
TIA LAVELLE MILLS NP
850 W BARAGA AVE
MARQUETTE, MI 49855-4550
Phone number: 906-449-3000
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Mailing Address
TIA LAVELLE MILLS NP
PO BOX 80
GWINN, MI 49841-0080
Phone number: 906-458-4855
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