Individual
DEON MIKAL JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
(517) 355-1627
Mailing address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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