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Individual

MRS. REAGAN FRANCES GIELINCKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR, IBCLC

Contact information

Practice address
410 N PATTERSON RD, WAYLAND, MI 49348-9095
(801) 388-1640
Mailing address
410 N PATTERSON RD, WAYLAND, MI 49348-9095
(801) 388-1640

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
225X00000X
Occupational Therapist
1056441
MI

Other

Enumeration date
05/29/2007
Last updated
04/19/2016
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