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“Chore Provider” (River Rouge, MI)

Location: River Rouge, MI
Taxonomy: Chore Provider.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1104207083 — THERESA JACKSON
Practice Location Address:
77 E GREAT LAKES ST APT 303
RIVER ROUGE MI
48218-1584
Practice Phone: 313-208-4140
1962874156 — STACEY JUNIOR
Practice Location Address:
94 E HENRY ST
RIVER ROUGE MI
48218-1640
Practice Phone: 313-300-9711

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