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Individual

MRS. MATHRINE MARQUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
400 RENAISSANCE CTR STE 2600, DETROIT, MI 48243-1502
(855) 832-6727
Mailing address
7638 DEERHILL DR, CLARKSTON, MI 48346-1242
(832) 784-0080

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
07/31/2020
Last updated
07/31/2020
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