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Individual

JESSICA SEAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1302 WESTLAKE CIR, BELLEVILLE, MI 48111-6102
(501) 620-3918
Mailing address
1302 WESTLAKE CIR, BELLEVILLE, MI 48111-6102

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703116125
MI

Other

Enumeration date
09/22/2016
Last updated
09/22/2016
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