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Individual

JAMIE LAITINEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
700 N STATE RD, DAVISON, MI 48423-1130
(810) 658-8051
(810) 654-0149
Mailing address
700 N STATE RD, DAVISON, MI 48423-1130
(810) 658-8051
(810) 654-0149

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302038281
MI
2255A2300X
Athletic Trainer
5302038281
MI

Other

Enumeration date
11/24/2019
Last updated
02/05/2020
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