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Individual

JULIE CAROL GROAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580
Mailing address
12501 HAMILTON AVE, HIGHLAND PARK, MI 48203-3243
(313) 865-1580

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704264265
MI

Other

Enumeration date
08/27/2019
Last updated
08/27/2019
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