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Brooke L Graham

Technician/Technologist in Bingham Farms, MI. Individual provider (NPI-1).

NPI number1124651963
StatusActive
Last updated in NPPESFeb 20, 2020

Details

NPI
1124651963
Entity type
Individual (NPI-1)
Name
Brooke L Graham
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2020
Certification date
Feb 20, 2020
Last updated
Feb 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist––Yes

Practice location

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Phone 248-712-4381

Mailing address

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Phone 248-712-4381

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