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Individual

JAMIE LAUREN FARRUGIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., PA-C

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 874-4677
Mailing address
38614 LANSE CREUSE ST, HARRISON TOWNSHIP, MI 48045-2060
(586) 322-9209

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007919
MI

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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