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1871039875
MICHELLE LYNN MASTERSON
DYER, IN
NPI
1871039875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 71006890A)
Enumeration Date
2017-01-13
Last Update Date
2023-03-10
Business Address
MRS. MICHELLE LYNN MASTERSON NP-C
24 JOLIET ST
DYER, IN 46311-1705
Phone number: 219-865-2141
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Mailing Address
MRS. MICHELLE LYNN MASTERSON NP-C
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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