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Individual

ALLI JANE MACDONNELL-MICHALAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7986 DAGGET ST, SAN DIEGO, CA 92111-2321
(858) 300-0460
(858) 300-0461
Mailing address
97 S 4TH ST STE C, ISHPEMING, MI 49849-2168
(906) 228-9699
(888) 977-2109

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
11/29/2018
Last updated
09/11/2023
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