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Individual

MARY CONDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9751
(810) 262-9659
Mailing address
1 HURLEY PLZ, FLINT, MI 48503-5902
(810) 262-9751
(810) 262-9659

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704262452
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704262452
LICENSE
MI
Enumeration date
10/24/2014
Last updated
10/24/2014
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