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Individual

LINDA MCTAGGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9151 ASHDOWN AVE, WHITE LAKE, MI 48386-4204
(248) 513-1331
Mailing address
9151 ASHDOWN AVE, WHITE LAKE, MI 48386-4204
(248) 513-1331

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703056633
MI

Other

Enumeration date
12/09/2015
Last updated
12/09/2015
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