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Individual

MS. LIZBETH GABEL MACCORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 775-3463
(231) 775-1692
Mailing address
527 COBB ST, CADILLAC, MI 49601-2540
(231) 775-3463
(231) 775-1692

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704184078
MI
163WC0400X
Case Management Registered Nurse
4704184078
MI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704184078
MI

Other

Enumeration date
03/05/2013
Last updated
03/05/2013
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