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Individual

LORI PUMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28398 MORTENVIEW, BROWNSTOWN TWP, MI 48183-5031
(313) 510-1875
Mailing address
28398 MORTENVIEW, BROWNSTOWN TWP, MI 48183-5031
(313) 510-1875

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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