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Individual

JULIE BROCKWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
812 E SAGINAW HWY, GRAND LEDGE, MI 48837-8410
(517) 627-1240
Mailing address
620 MAY ST, APT 9, LANSING, MI 48906-5296
(586) 219-2245

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302038636
MI

Other

Enumeration date
10/20/2011
Last updated
10/20/2011
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