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Individual

ALIX DIANA MCGINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10184 MCKENNA RD, HUBBARDSTON, MI 48845-9509
(517) 914-0700
Mailing address
10184 MCKENNA RD, HUBBARDSTON, MI 48845-9509
(517) 914-0700

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703126124
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
164W00000X
STATE OF MICHIGAN
MI
Enumeration date
11/10/2022
Last updated
11/10/2022
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