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Individual

MARK EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2700 E LANSING DR, EAST LANSING, MI 48823-7754
(517) 332-1616
(517) 332-1517
Mailing address
2700 E LANSING DR, EAST LANSING, MI 48823-7754
(517) 332-1616
(517) 332-1517

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/17/2024
Last updated
05/17/2024
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