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MS. MAKENZIE BRYNN DUNCAN

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1952921272

Individual Registrant:
MS. MAKENZIE BRYNN DUNCAN 
Gender: F
Sole Proprietor

Location and contact information for practice:
3018 YARGERVILLE RD  LA SALLE, MI 48145-9792 US
Tel: 419-350-9678  Fax: --

Contact information for business:
462 E 10TH ST  INDIANAPOLIS, IN 46202-4600 US
Tel: 419-350-9678  Fax: --

Registration Information:
NPI: 1952921272
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
IN10003146A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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