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Individual

SHAUNTELLE DOMINIQUE ANGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
75 BARCLAY CIR, ROCHESTER HILLS, MI 48307-5820
(248) 856-6300
Mailing address
3087 WOODCREEK WAY, BLOOMFIELD HILLS, MI 48304-1864
(586) 549-4565
(248) 481-2858

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704277472
MI

Other

Enumeration date
03/08/2018
Last updated
03/08/2018
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