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Organization
VINTAGE SPECIALIZED SERVICES LLC
Active
Organization
VINTAGE SPECIALIZED SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHIA LYNN BARUTI (ADMINISTRATOR)
(517) 574-2401
Entity
Organization
Contact information
Practice address
2055 PERRINE RD, RIVES JUNCTION, MI 49277-9735
(517) 574-2401
Mailing address
207 E BELLEVUE ST, LESLIE, MI 49251-9373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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