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1063690535
CLARENCE L NICODEMUS
EAST LANSING, MI
NPI
1063690535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: MI 5101016107)
Enumeration Date
2008-02-06
Last Update Date
2023-06-26
Business Address
CLARENCE L NICODEMUS PhD DO
4660 S HAGADORN RD SUITE 500
EAST LANSING, MI 48823-5376
Phone number: 517-432-6144
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Mailing Address
CLARENCE L NICODEMUS PhD DO
804 SERVICE RD STE A109B
EAST LANSING, MI 48824-7015
Phone number: 517-432-6144
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