Individual
SUZANNE KATHLEEN HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 E MICHIGAN AVE, JACKSON, MI 49201-1852
(517) 205-1802
Mailing address
12018 SWAN VIEW DR, BROOKLYN, MI 49230-8536
(517) 414-7455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000112
MI
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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