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Individual

MS. JERUSHA VICKY PIERCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
6046 INDIAN TRAIL DR, BURTCHVILLE, MI 48059-2542
(810) 479-9410

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/05/2011
Last updated
01/05/2011
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