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Organization

TOWN OF REPUBLIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI A BURTON (OFFICE MANAGER)
(906) 376-8827
Entity
Organization

Contact information

Practice address
9610 STATE HWY M95, REPUBLIC, MI 49879
(906) 376-8827
(906) 376-2383
Mailing address
PO BOX 338, REPUBLIC, MI 49879-0338
(906) 376-8827
(906) 376-2383

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3004406
MI
Enumeration date
11/08/2006
Last updated
01/05/2015
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