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Individual

DR. AURELIA DALE JAMERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 578-3046
Mailing address
PO BOX 67000, DWR 213601, DETROIT, MI 48267-0002

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301055245
MI

Other

Enumeration date
06/10/2006
Last updated
09/20/2012
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