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1962455055
LAINE WOODARD
SOUTHFIELD, MI
NPI
1962455055
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Former Name
LAINE DELMONICO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002760)
Enumeration Date
2006-05-18
Last Update Date
2008-01-18
Business Address
-- LAINE WOODARD pa-c
24500 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-2414
Phone number: 248-359-1008
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Mailing Address
-- LAINE WOODARD pa-c
57435 SPAULDING CT
NEW HUDSON, MI 48165-9824
Phone number: 248-359-1008
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