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Individual

MR. EVAN MICHAEL DAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 789-1200
Mailing address
2832 LELAND DR, JACKSON, MI 49203-4920
(517) 262-4393

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
247200000X
Other Technician

Other

Enumeration date
10/20/2020
Last updated
03/03/2025
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