Individual
MRS. DEBRA SUE KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44300 FORD RD, CANTON, MI 48187-3169
(734) 459-3875
Mailing address
3255 GOTFREDSON RD, YPSILANTI, MI 48198-9436
(734) 484-3608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302411027
MI
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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