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NICOLE ROSE BUBNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2701 CHESTNUT STATION CT, PARAGON REHABILITATION, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
9555 LONGMEADOW ST, FENTON, MI 48430-8738
(810) 280-9879

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001933
MI

Other

Enumeration date
03/10/2015
Last updated
03/10/2015
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