Individual
MRS. DEBORAH LEE SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4918 W CLARK RD STE 104, YPSILANTI, MI 48197-1142
(734) 528-9125
(734) 528-9263
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704177641
MI
363LW0102X
Women's Health Nurse Practitioner
Primary
4704177641
MI
Other
Enumeration date
01/31/2013
Last updated
08/05/2020
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