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Individual

DENISE DAWN KELLEPOUREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4000
Mailing address
27635 WEDDEL AVE, BROWNSTOWN TWP, MI 48183-5915
(734) 467-4700

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704157022
MI

Other

Enumeration date
12/12/2008
Last updated
12/12/2008
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