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Individual

MR. MICK ALLEN PRESTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
Mailing address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
3203057152
MI
163W00000X
Registered Nurse
Primary
4704359441
MI

Other

Enumeration date
09/01/2016
Last updated
03/03/2020
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