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Individual

MS. CAROL JEAN REBBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Contact information

Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3840
Mailing address
6856 PLATT RD, YPSILANTI, MI 48197-9302

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704088075
MI

Other

Enumeration date
03/24/2006
Last updated
07/08/2007
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