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Individual

CONNIE LYNNE BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
212 E BIDDLE ST, JACKSON, MI 49203-1800
(517) 783-3434
Mailing address
212 E BIDDLE ST, JACKSON, MI 49203-1800
(517) 783-3434

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
5303014271
MI
183700000X
Pharmacy Technician
5303014271
MI

Other

Enumeration date
02/14/2025
Last updated
03/04/2025
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