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Lucille E Case

Adult Companion in Port Huron, MI. Individual provider (NPI-1).

NPI number1114280351
StatusActive
Last updated in NPPESJun 22, 2012

Details

NPI
1114280351
Entity type
Individual (NPI-1)
Name
Lucille E Case
Sex
Female
Sole proprietor
No
Enumeration date
Jun 22, 2012
Last updated
Jun 22, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
372600000X Adult Companion––Yes

Practice location

1001 Military St
Port Huron, MI 48060-5416

Phone 810-985-5437 · Fax 800-248-1568

Mailing address

5800 Lakeshore Rd
Fort Gratiot, MI 48059-2819

Phone 810-824-6397

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