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Individual

ANGELA REED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
803 W ARLINGTON ST, BANGOR HEALTH CENTER, BANGOR, MI 49013-1108
(269) 427-6810
(269) 427-6811
Mailing address
803 W ARLINGTON ST, BANGOR HEALTH CENTER, BANGOR, MI 49013-1108
(269) 427-6810
(269) 427-6811

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704182710
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4826733
MI
Enumeration date
06/07/2006
Last updated
01/23/2012
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