Individual
KATHLEEN JANE DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 239-9039
Mailing address
5224 12TH RD, ESCANABA, MI 49829-9655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704199426
MI
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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