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1720186208
LISA ANN JURICH
LIVONIA, MI
NPI
1720186208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704177116)
Enumeration Date
2006-09-20
Last Update Date
2020-05-29
Business Address
LISA ANN JURICH CRNA
36475 FIVE MILE RD
LIVONIA, MI 48154-1971
Phone number: 734-655-2031
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Mailing Address
LISA ANN JURICH CRNA
PO BOX 67000 DEPT 203401
DETROIT, MI 48267-2034
Phone number: 952-442-9770
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