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Individual

MRS. BROOKE ALLIE JANKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1650 RAMBLEWOOD DR, EAST LANSING, MI 48823-7396
(517) 332-1200
Mailing address
514 PARKERS DR, PORTLAND, MI 48875-9539
(989) 506-8154

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
12/01/2017
Last updated
12/01/2017
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