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Organization

JOHN-ANGELLA-REGINA PRIMARY CARE AND WELLNESS

Active
Other names
JAR Primary Care and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN WESTLEY MAILEY NP (OWNER)
(313) 310-6761
Entity
Organization

Contact information

Practice address
27645 ALBERT ST, NOVI, MI 48374-1012
(313) 310-6761
Mailing address
27645 ALBERT ST, NOVI, MI 48374-1012

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary

Other

Enumeration date
05/09/2024
Last updated
05/09/2024
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