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Individual

MRS. JANNA LYNN DEERING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1135 E 8TH ST, TRAVERSE CITY, MI 49686-2936
(231) 929-2054
(231) 929-2084
Mailing address
4590 LAKE PINE DR, TRAVERSE CITY, MI 49684-9617
(231) 421-3397

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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