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Individual

FAWN LEA MUNRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
460 LONG RAPIDS PLZ, ALPENA, MI 49707
(989) 356-0141
(989) 354-5670
Mailing address
460 LONG RAPIDS PLZ, ALPENA, MI 49707-1442
(989) 356-0141
(989) 354-5670

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704260153
MI

Other

Enumeration date
08/22/2011
Last updated
07/24/2018
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