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Individual

SHEILA CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2284 S BALLENGER HWY STE G, FLINT, MI 48503-3446
(810) 221-7871
Mailing address
2284 S BALLENGER HWY STE G, FLINT, MI 48503-3446
(810) 221-8771

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700390804
MI
Enumeration date
11/28/2017
Last updated
06/14/2018
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