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Individual

MRS. LAURA JANET TOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
30800 TELEGRAPH RD, SUITE 2800, BINGHAM FARMS, MI 48025-4542
(248) 593-0100
(248) 593-0175
Mailing address
30800 TELEGRAPH RD, SUITE 2800, BINGHAM FARMS, MI 48025-4542
(248) 593-0100
(248) 593-0175

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704130558
MI

Other

Enumeration date
04/06/2012
Last updated
04/06/2012
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