ProviderBusinessMailingAddressFaxNumber = '5864938799'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1144828088 | CROCKETT | MICAYLA | | | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 480432920 |
| 1477154060 | DENNIE | MICHAEL | | | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 480432920 |
| 1063051480 | DESSINGER | JENNY | | | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 480432920 |
| 1013646652 | HOFSTAD | KRISTIN | | | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 480432920 |
| 1699127548 | MANSOUR | DALIA | | | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 480432920 |
| 1477039279 | MELKONIAN | JENINNE | MARIE | | 1000 HARRINGTON ST | MOUNT CLEMENS | MI | 480432920 |
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