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Organization

PROMIND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA FARES (OWNER)
(810) 882-1458
Entity
Organization

Contact information

Practice address
5234 CREEKMONTE DR, ROCHESTER, MI 48306-4794
(810) 882-1458
(754) 218-0872
Mailing address
1257 N MAIN ST, LAPEER, MI 48446-1346
(810) 882-1458
(754) 218-0872

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
09/29/2025
Last updated
11/04/2025
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