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Individual

KELLY MAGGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
511 STATE ST, EATON RAPIDS, MI 48827-1550
(517) 574-8084
Mailing address
511 STATE ST, EATON RAPIDS, MI 48827-1550
(517) 574-8084

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109565
MI

Other

Enumeration date
04/13/2015
Last updated
04/13/2015
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