Individual
MRS. DEBBIE LEE DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
1021 MEL AVE, LANSING, MI 48911-3619
(517) 712-4583
Mailing address
PO BOX 80572, LANSING, MI 48908-0572
(517) 712-4583
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
82449
MI
Other
Enumeration date
08/08/2012
Last updated
01/09/2015
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