Emilie Louise Soper

NPI #1578180048 in Jackson, Michigan

Provider Information

NPI Number: 1578180048
Entity Type: Individual
Name: Emilie Louise Soper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Jul 1, 2020
Last Updated: Jul 1, 2020

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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