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Individual

TAMMY SUE KAUFFMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
EMT/PHLEBOTOMIST

Contact information

Practice address
2751 E MULLETT LAKE RD, INDIAN RIVER, MI 49749-9181
(231) 818-5344
Mailing address
2751 E MULLETT LAKE RD, INDIAN RIVER, MI 49749-9181
(231) 818-5344

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
511592
MI

Other

Enumeration date
12/15/2020
Last updated
12/15/2020
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