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Individual

CHRISTINE ELIZABETH DECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
9914 E ML AVE, GALESBURG, MI 49053-8723
(269) 598-7923
(269) 665-5007
Mailing address
9914 E ML AVE, GALESBURG, MI 49053-8723
(269) 598-7923
(269) 665-5007

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
AF390384856
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AF390384856
MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
MI
Enumeration date
07/05/2017
Last updated
07/21/2022
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