KRISTIN DICELLO

NOVI, MI
NPI1912444142
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601008080)
Enumeration Date2017-01-26
Last Update Date2017-01-26
Business Address
-- KRISTIN DICELLO PA-C
47601 GRAND RIVER AVE SUITE C202
NOVI, MI 48374-1233
Phone number: 248-465-5955
Mailing Address
-- KRISTIN DICELLO PA-C
1120 EDISON BLVD
PORT HURON, MI 48060-2030
Phone number: 734-255-2450
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