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Individual

REBECCA ANNE BURKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
616 N PINE ST APT 1, LANSING, MI 48933-8002
(616) 719-7361
Mailing address
616 N PINE ST APT 1, LANSING, MI 48933-8002
(616) 719-7361

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
7601000053
MI
176B00000X
Midwife

Other

Enumeration date
08/14/2019
Last updated
12/16/2019
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