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Individual

JACQUELINE TRUITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
7014 N INKSTER RD APT 210C, DEARBORN HEIGHTS, MI 48127-1863
(248) 987-8317
Mailing address
7014 N INKSTER RD APT 210C, DEARBORN HEIGHTS, MI 48127-1863
(248) 987-8317

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008602
MI

Other

Enumeration date
05/06/2019
Last updated
05/06/2019
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