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Individual

DEBRA ROSE JELINEK GOMBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, MT-BC

Contact information

Practice address
2872 GLAZIER WAY, ANN ARBOR, MI 48105-2443
(734) 622-0444
Mailing address
2872 GLAZIER WAY, ANN ARBOR, MI 48105-2443
(734) 622-0444

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/01/2014
Last updated
10/01/2014
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