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Individual

JEANINE SUMMERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 MILITARY ST, PORT HURON, MI 48060-5416
(810) 985-5437
(800) 248-1568
Mailing address
1638 NEW JERSEY AVE, MARYSVILLE, MI 48040-1656
(254) 466-1306

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary

Other

Enumeration date
12/10/2009
Last updated
12/10/2009
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