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1063092955
CHINEZE EKILISIE MBANUGO
DETROIT, MI
NPI
1063092955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-13
Last Update Date
2022-04-13
Business Address
CHINEZE EKILISIE MBANUGO MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-1601
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Mailing Address
CHINEZE EKILISIE MBANUGO MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-1601
Copy
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