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Jaclyn Cole

NPI 1770364192 · on the registry since 2023

Practice

Address
19680 Shrewsbury Rd
Detroit, MI 48221
Phone
(419) 889-4348

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-11

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