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1740314970
DANEEN LOCKE
SOUTHFIELD, MI
NPI
1740314970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI dl003145)
Enumeration Date
2007-03-16
Last Update Date
2018-02-09
Business Address
DANEEN LOCKE
29355 NORTHWESTERN HWY #200
SOUTHFIELD, MI 48034
Phone number: 248-353-0880
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Mailing Address
DANEEN LOCKE
29355 NORTHWESTERN HWY # 302
SOUTHFIELD, MI 48034-1053
Phone number: 248-228-2990
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