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Individual

LINDA M DEPASQUALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
19763 TANGLEWOOD CIR., CLINTON TWP., MI 48038
(586) 263-6959
Mailing address
19763 TANGLEWOOD CIR., CLINTON TOWNSHIP, MI 48038
(586) 263-6959

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704248057
MI

Other

Enumeration date
07/23/2008
Last updated
07/23/2008
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