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Individual

CHELSEA DESLOOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.N

Contact information

Practice address
11828 SULLIVAN RD, GLADWIN, MI 48624-9517
(989) 600-0538
Mailing address
11828 SULLIVAN RD, GLADWIN, MI 48624-9517

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115171
MI

Other

Enumeration date
10/02/2015
Last updated
10/02/2015
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