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1720488943
TINA WALNY
ROYAL OAK, MI
NPI
1720488943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704195155)
Enumeration Date
2014-08-25
Last Update Date
2014-08-25
Business Address
-- TINA WALNY
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
-- TINA WALNY
50766 OAKS DR
CHESTERFIELD, MI 48047-4697
Phone number:
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