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Individual

NORMA PAKULSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, LPN

Contact information

Practice address
1107 STONE ST, SUITE 2, PORT HURON, MI 48060-3569
(810) 488-5833
Mailing address
1107 STONE ST, SUITE 2, PORT HURON, MI 48060-3569
(810) 488-5833

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
4703109798
MI
225700000X
Massage Therapist
Primary
7501007800
MI

Other

Enumeration date
06/07/2016
Last updated
03/09/2017
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