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Individual

CHERYL ANN LIEURANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
412 E STATE ST, CASSOPOLIS, MI 49031-1330
(264) 445-2249
(269) 445-8294
Mailing address
PO BOX 173, CASSOPOLIS, MI 49031-0173
(269) 445-2249
(269) 445-8294

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005525
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0A450190
BLUE CROSS I.D.#
MI
Enumeration date
01/03/2007
Last updated
07/09/2007
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