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1881023729
ANTONELLA HART
MACOMB, MI
NPI
1881023729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MI 4704253365)
Enumeration Date
2013-11-01
Last Update Date
2013-11-01
Business Address
-- ANTONELLA HART
55349 FALLBROOKE DR
MACOMB, MI 48042-1853
Phone number: 248-909-0573
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Mailing Address
-- ANTONELLA HART
55349 FALLBROOKE DR
MACOMB, MI 48042-1853
Phone number: 248-909-0573
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