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Individual

SHIRLEY IKELER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5048 TREEHILL RD, GRAND BLANC, MI 48439-2052
(810) 730-2062
Mailing address
5048 TREEHILL RD, GRAND BLANC, MI 48439-2052
(810) 730-2062

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703084483
MI

Other

Enumeration date
02/25/2015
Last updated
02/25/2015
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