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Jalissa Poole
NPI 1467014795 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3231 S Gulley Rd Ste E
Dearborn, MI 48124 - Phone
- (313) 278-2327
- Clinicians at this address
- 217
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Also registered as
- Other Technician
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan