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Individual

NICOLE MARIE THELEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
250 E SAGINAW ST, EAST LANSING, MI 48823-2740
(517) 337-3080
(517) 337-3082
Mailing address
250 E SAGINAW ST, EAST LANSING, MI 48823-2740
(517) 337-3080
(517) 337-3082

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005843
MI

Other

Enumeration date
05/21/2010
Last updated
10/20/2016
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