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Individual

JOSHUA HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
5351 GREENFIELD RD, BRIGHTON, MI 48114-9071
(248) 210-5619
Mailing address
5351 GREENFIELD RD, BRIGHTON, MI 48114-9071
(248) 210-5619

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122483
MI

Other

Enumeration date
12/04/2019
Last updated
12/04/2019
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