Individual
MRS. DEBORAH LEE JAGOTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AEMT
Contact information
Practice address
5922 LEROUX RD, NEWPORT, MI 48166-9509
(734) 552-0920
Mailing address
5922 LEROUX RD, NEWPORT, MI 48166-9509
(734) 552-0920
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
3201009467
MI
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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