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1871686337
MARTY PHILLIP DACK
LANSING, MI
NPI
1871686337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704222015)
Enumeration Date
2006-10-02
Last Update Date
2010-08-26
Business Address
Mr. MARTY PHILLIP DACK NP
1703 E MICHIGAN AVE
LANSING, MI 48912-2841
Phone number: 517-913-3860
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Mailing Address
Mr. MARTY PHILLIP DACK NP
1703 E MICHIGAN AVE
LANSING, MI 48912-2841
Phone number: 517-913-3860
Copy
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