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Individual

JERRICA PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
Mailing address
PO BOX 289, MASON, MI 48854-0289

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
07/02/2019
Last updated
07/02/2019
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