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Individual

MISS TINA MARIE PIERCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE

Contact information

Practice address
225 N WISNER ST, JAKSON, MI 49202
(517) 787-5492
Mailing address
225 N WISNER ST, JACKSON, MI 49202-4136
(517) 787-5492

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
06/25/2010
Last updated
06/25/2010
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