Individual
KELLY DEBOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(517) 416-1835
Mailing address
10944 MILNES RD, JONESVILLE, MI 49250-9827
(517) 877-2355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6852093506
MI
Other
Enumeration date
09/15/2022
Last updated
09/16/2022
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