Department of Licensing and Regulatory Affairs
Board of Medicine
JULIE LYNN PROVIDENTI
Osteopathic Medicine & Surgery - Osteopathic Physician
License number
5101012903
Date granted
07/17/1995
Date expires
12/31/2001
Class
Osteopathic Medicine & Surgery - Osteopathic Physician
Status
Lapsed
Address
michiganmedical.net
ID 39138792
LAST UPDATED 2024-03-31 20:27:40 UTC
LAST UPDATED 2024-03-31 20:27:40 UTC
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