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1811578883
CARA DETRIE
LANSING, MI
NPI
1811578883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 5151014918)
Enumeration Date
2021-04-20
Last Update Date
2021-04-20
Business Address
CARA DETRIE DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
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Mailing Address
CARA DETRIE DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
Copy
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