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1740241140
TISHA PRUSAK
YPSILANTI, MI
NPI
1740241140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704207329)
Enumeration Date
2006-03-28
Last Update Date
2008-04-23
Business Address
-- TISHA PRUSAK CRNA MS
5301 E HURON RIVER DR DEPT OF ANESTHESIOLOGY
YPSILANTI, MI 48197-1051
Phone number: 734-712-3840
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Mailing Address
-- TISHA PRUSAK CRNA MS
5301 E. HURON RIVER DRIVE DEPT OF ANESTHESIOLOGY
ANN ARBOR, MI 48106
Phone number: 734-712-3840
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