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Individual

JEFFREY S DAUPHINAIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
18341 US HIGHWAY 41, LANSE, MI 49946-8024
(906) 524-6118
(906) 524-6218
Mailing address
18341 US HIGHWAY 41, LANSE, MI 49946-8024
(906) 524-6118
(906) 524-6218

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704261588
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704261588
NURSING LICENSE-NP
MI
Enumeration date
03/05/2018
Last updated
03/05/2018
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