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1811937675
TRACEY DEBOLT WENTZ
YPSILANTI, MI
NPI
1811937675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MI 4301044723)
Enumeration Date
2006-06-08
Last Update Date
2007-07-08
Business Address
Dr. TRACEY DEBOLT WENTZ
5301 E HURON RIVER DR CLINICAL LABORATORY-ST JOSEPH HOSPITAL
YPSILANTI, MI 48197-1051
Phone number: 734-712-5989
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Mailing Address
Dr. TRACEY DEBOLT WENTZ
3820 WYNNSTONE DR
ANN ARBOR, MI 48105-2879
Phone number: 734-769-5841
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