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Individual

MRS. JENNIFER YIRSA WESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3955 PATIENT CARE DR, LANSING, MI 48911-4299
(517) 374-7600
(855) 495-5457
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6208

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002892
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679657274
MI
Enumeration date
10/24/2006
Last updated
11/29/2018
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