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Individual

KELLI RAE THORNBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN, WOCN

Contact information

Practice address
7820 WHITTAKER RD, YPSILANTI, MI 48197-9775
(734) 660-8183
(734) 547-5832
Mailing address
7820 WHITTAKER RD, YPSILANTI, MI 48197-9775
(734) 660-8183
(734) 547-5832

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105850
MI

Other

Enumeration date
11/25/2017
Last updated
11/25/2017
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