Individual
KATHLEEN DORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38347 CR 374, PAW PAW, MI 49079
(269) 277-9877
Mailing address
38347 CR 374, PAW PAW, MI 49079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704299786
MI
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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