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Individual

MS. CHRISTINA CONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
265 N MICHIGAN AVE, COLDWATER, MI 49036-1528
(517) 278-1926
(517) 278-6555
Mailing address
265 N MICHIGAN AVE, COLDWATER, MI 49036-1528
(517) 278-1926
(517) 278-6555

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703038270
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164W00000X
MI
Enumeration date
09/20/2012
Last updated
09/20/2012
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