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1992390157
GWENDOLYN FIELDS
SOUTHGATE, MI
NPI
1992390157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704241900)
Enumeration Date
2021-03-09
Last Update Date
2023-11-03
Business Address
GWENDOLYN FIELDS
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
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Mailing Address
GWENDOLYN FIELDS
PO BOX 24754
DETROIT, MI 48224-0754
Phone number: 313-680-4094
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