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1730793241
JEANETTE A BACCI
DETROIT, MI
NPI
1730793241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704318901)
Enumeration Date
2020-09-02
Last Update Date
2020-09-09
Business Address
Mrs. JEANETTE A BACCI FNP
11260 E JEFFERSON AVE
DETROIT, MI 48214-3320
Phone number: 137-490-1483
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Mailing Address
Mrs. JEANETTE A BACCI FNP
30 W MONROE ST STE 1200
CHICAGO, IL 60603-2420
Phone number: 312-733-9730
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