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Individual

THERON PAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
31330 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-2042
(734) 525-9712
Mailing address
31330 SCHOOLCRAFT RD STE 200, LIVONIA, MI 48150-2042
(734) 525-9712

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary

Other

Enumeration date
06/09/2017
Last updated
07/21/2022
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