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Individual

MRS. DAWN JO PHENIX-STOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
312 E. MAIN ST., STANTON, MI 48888
(989) 831-5000
(989) 831-5009
Mailing address
5771 S DERBY RD, SHERIDAN, MI 48884-9364
(989) 328-6041
(989) 831-5009

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
01/10/2011
Last updated
01/10/2011
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