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Individual

MRS. JULIE LYNN PRYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N./BSN

Contact information

Practice address
2301 E MICHIGAN AVE STE 101, JACKSON, MI 49202-3765
(517) 783-3434
(517) 782-6446
Mailing address
2301 E MICHIGAN AVE STE 101, JACKSON, MI 49202-3765
(517) 783-3434
(517) 782-6446

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
4704207739
MI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704207739
MI

Other

Enumeration date
06/14/2013
Last updated
06/14/2013
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