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Individual

ANN JOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
882 OAKMAN BLVD STE B, DETROIT, MI 48238-4019
(313) 967-5950
Mailing address
882 OAKMAN BLVD STE B, DETROIT, MI 48238-4019
(313) 967-5950

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703052691
MI

Other

Enumeration date
04/17/2015
Last updated
04/17/2015
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