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Individual

MARY KAY POLK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4400 S SAGINAW ST STE 1400, FLINT, MI 48507-2645
(810) 391-0662
(810) 239-8330
Mailing address
585 JEWETT RD, MASON, MI 48854-8729
(517) 676-5405
(517) 676-4560

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704207893
MI

Other

Enumeration date
02/19/2013
Last updated
02/19/2013
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