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Organization

BELLA DONNA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA C GOSSETT CFM (OWNER/OPERATOR)
(517) 610-7086
Entity
Organization

Contact information

Practice address
10482 FERRIS DR, CEMENT CITY, MI 49233-9611
(517) 610-7086
Mailing address
10482 FERRIS DR, CEMENT CITY, MI 49233-9611
(517) 610-7086

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
MI

Other

Enumeration date
08/27/2009
Last updated
08/27/2009
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