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Individual

DIANA REGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5325 ELLIOTT DR, SUITE 104, YPSILANTI, MI 48197-8633
(734) 712-8150
(734) 712-8151
Mailing address
24 FRANK LLOYD WRIGHT DR. LOBBY J2000, ANN ARBOR, MI 48106

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704287193
MI

Other

Enumeration date
08/31/2016
Last updated
09/01/2016
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