Individual
MS. SALLY EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 N STATE ST, GLADWIN, MI 48624-1659
(989) 426-0169
(877) 259-5813
Mailing address
1426 N STATE ST, GLADWIN, MI 48624-1659
(989) 426-0169
(877) 259-5813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704226792
MI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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