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Individual

KATRINA CORLISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MT

Contact information

Practice address
29 BLACK COAL RD, LABORATORY, FT WASHACKI, WY 82514
(307) 335-5973
(307) 332-7514
Mailing address
3223 E STAGE RD, IONIA, MI 48846-9718
(307) 330-3012

Taxonomy

Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
AAB 2050187
MI

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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