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Individual

MRS. DIANA BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1200 N WEST AVE, SUITE 300, JACKSON, MI 49202-2179
(517) 789-1234
(517) 784-7840
Mailing address
1200 N WEST AVE, SUITE 300, JACKSON, MI 49202-2179
(517) 789-1234
(517) 784-7840

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704167960
MI

Other

Enumeration date
08/14/2014
Last updated
08/14/2014
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