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1881609584
STEPHANIE A. LUSIS
ROYAL OAK, MI
NPI
1881609584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: MI 4704097964)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
STEPHANIE A. LUSIS NP
3601 W 13 MILE RD FSC
ROYAL OAK, MI 48073-6712
Phone number: 248-423-2454
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Mailing Address
STEPHANIE A. LUSIS NP
3601 W 13 MILE RD FSC
ROYAL OAK, MI 48073-6712
Phone number: 248-423-2454
Copy
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