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Individual

DIONNE SHEREE MARCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704304422
MI
163WG0000X
General Practice Registered Nurse
Primary
4704304422
MI
163WG0000X
General Practice Registered Nurse
4794304422
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538751748
NPI
MI
Enumeration date
05/17/2021
Last updated
05/17/2021
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