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1740852771
LISA MAE MACKALUSO
PORT HURON, MI
NPI
1740852771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704252035)
Enumeration Date
2021-07-09
Last Update Date
2023-01-17
Business Address
LISA MAE MACKALUSO APRN, FNP-C
2601 ELECTRIC AVE
PORT HURON, MI 48060-6587
Phone number: 810-216-1500
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Mailing Address
LISA MAE MACKALUSO APRN, FNP-C
2601 ELECTRIC AVE
PORT HURON, MI 48060-6587
Phone number: 810-216-1500
Copy
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