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Individual

MS. KATHLEEN M. LABELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2601 ELECTRIC AVE, PORT HURON, MI 48060-6587
(810) 985-1500
(810) 966-3104
Mailing address
5324 SHOREWOOD DR, FORT GRATIOT, MI 48059-3135

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704154589
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
317410110
MI
01
KL154589
BLUE CROSS
MI
01
P28297R
BCN
MI
Enumeration date
09/26/2006
Last updated
07/08/2007
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