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Organization
NURSING PRACTICE CORPORATION
Active
Organization
NURSING PRACTICE CORPORATION
Active
Other names
Taylor Street Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA SMITH (CHIEF NURSING OFFICER)
(313) 577-5118
Entity
Organization
Contact information
Practice address
1550 TAYLOR ST, DETROIT, MI 48206-2081
(313) 577-5041
Mailing address
5285 ANTHONY WAYNE DR, DETROIT, MI 48202-3947
(313) 577-5041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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