Jacqueline Derose
Jacqueline Derose is a Rehabilitation Practitioner in East Lansing, Michigan. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
2775 E Lansing DrEast Lansing, MI 48823-7755
Phone: (517) 332-1616
Fax: (517) 332-1538
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1194189977 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 7, 2016 |
| Last updated in NPPES | April 7, 2016 |
| Mailing address | 2775 E Lansing Dr, East Lansing, MI 48823-7755 |
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Kayla R Case
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Scotty Fraser
2775 E Lansing Dr, East Lansing, MI 48823-7755 · (517) 332-1616