Individual
VIRGINIA AMALIE SABOURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 N 4TH AVE STE 102, ANN ARBOR, MI 48104-5503
(734) 635-7954
Mailing address
PO BOX 915, YPSILANTI, MI 48197-0915
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704292780
MI
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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