Denise Lynn Mossolle

NPI #1578121976 in Jackson, Michigan

Provider Information

NPI Number: 1578121976
Entity Type: Individual
Name: Denise Lynn Mossolle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 31, 2019
Last Updated: May 31, 2019

Practice Location

Address: 1001 LAURENCE AVE
City: Jackson
State: Michigan
ZIP Code: 49202-2979
Phone: (517) 750-4777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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