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1720749344
ALISHA DEPONIO
TRAVERSE CITY, MI
NPI
1720749344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MI 4704284761NSA2111S)
Enumeration Date
2022-01-05
Last Update Date
2022-06-08
Business Address
ALISHA DEPONIO AGACNP-BC
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684-2369
Phone number: 231-935-5800
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Mailing Address
ALISHA DEPONIO AGACNP-BC
1200 SIXTH ST STE 200
TRAVERSE CITY, MI 49684-2369
Phone number: 231-935-5800
Copy
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