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Individual

BERNICE COLEGROVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1032 N STEWART RD, CHARLOTTE, MI 48813-9355
(517) 980-3013
Mailing address
1032 N STEWART RD, CHARLOTTE, MI 48813-9355
(517) 980-3013

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703085799
MI

Other

Enumeration date
08/25/2015
Last updated
08/25/2015
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