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Individual

BETHANY ANN LAURIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR CANCER & GERIATRICS CTR RECP B, ANN ARBOR, MI 48109-0910
(734) 936-9814
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704217700
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4595064
MI
Enumeration date
03/12/2007
Last updated
07/08/2007
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