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Individual

KATHY TALIAFERRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12475 DODGE RD, OTISVILLE, MI 48463-9774
(810) 919-9999
Mailing address
12475 DODGE RD, OTISVILLE, MI 48463-9774
(810) 919-9999

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704127352
MI

Other

Enumeration date
09/04/2014
Last updated
09/04/2014
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