JAKE MYKEL VINTON

DETROIT, MI
NPI1023759701
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-05
Last Update Date2022-04-05
Business Address
JAKE MYKEL VINTON DO
4201 SAINT ANTOINE ST OFC UHC -9C
DETROIT, MI 48201-2153
Phone number: 313-745-5147
Mailing Address
JAKE MYKEL VINTON DO
4201 SAINT ANTOINE ST OFC UHC -9C
DETROIT, MI 48201-2153
Phone number: 313-745-5147
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