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1912215021
JACQUELINE RENEE LASSEN
DETROIT, MI
NPI
1912215021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant Surgical
(Licence: MI 5601005878)
Enumeration Date
2010-09-23
Last Update Date
2011-08-18
Business Address
MISS JACQUELINE RENEE LASSEN PA-C
4160 JOHN R ST
DETROIT, MI 48201-2020
Phone number: 248-686-4200
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Mailing Address
MISS JACQUELINE RENEE LASSEN PA-C
4160 JOHN R ST STE 400
DETROIT, MI 48201-2021
Phone number: 248-686-4200
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