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Individual

TERRI BARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2766 11 MILE RD STE 2, BERKLEY, MI 48072-3033
(248) 542-2424
(248) 542-5621
Mailing address
39040 NOTTINGHAM DR, ROMULUS, MI 48174-6305
(248) 747-1757

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703099185
MI

Other

Enumeration date
01/12/2015
Last updated
01/12/2015
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