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Reginald A Dalton, MBA, BS

Community/Behavioral Health in Ypsilanti, MI. Individual provider (NPI-1).

NPI number1306125372
StatusActive
Last updated in NPPESAug 9, 2011

Details

NPI
1306125372
Entity type
Individual (NPI-1)
Name
Reginald A Dalton
Credential
MBA, BS
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 9, 2011
Last updated
Aug 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–MIYes

Practice location

1075 Gault Dr
Ypsilanti, MI 48198-6427

Phone 734-547-7814

Mailing address

1075 Gault Dr
Ypsilanti, MI 48198-6427

Phone 734-547-7814

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