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Mirissa Lynne Gagnier
Student in an Organized Health Care Education/Training Program in Waterford, Michigan
NPI 1275018319

Mirissa Lynne Gagnier is a Student in an Organized Health Care Education/Training Program based in Waterford, MI. Mirissa Lynne Gagnier practices in Waterford, MI. The NPI Number for Mirissa Lynne Gagnier is 1275018319 and holds a License No. (Michigan).

The current practice location address for Mirissa Lynne Gagnier is 1370 N Oakland Blvd Ste 105, Waterford, MI and can be reached out via phone at 248-666-8870.

Location: 1370 N Oakland Blvd Ste 105, Waterford, MI, 48327-1572
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275018319
Provider Name
Mirissa Lynne Gagnier
Credential
Provider Entity Type
Individual
Gender
Female
Address
1370 N Oakland Blvd Ste 105, Waterford, MI, 48327-1572
Phone Number
248-666-8870
Fax Number
Provider Enumeration Date
09/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1370 N Oakland Blvd Ste 105
City
Waterford
State
Michigan
Zip
48327-1572
Phone Number
248-666-8870
Fax Number
person
Provider Business Mailing Address Details
Address
1370 N Oakland Blvd Ste 105
City
Waterford
State
Michigan
Zip
48327-1572
Phone Number
248-666-8870
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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