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1093456196
ANTONIA BIH FOMUNYAM NYONGABSEN
GRAND RAPIDS, MI
NPI
1093456196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4351049663)
Enumeration Date
2022-04-05
Last Update Date
2022-06-28
Business Address
ANTONIA BIH FOMUNYAM NYONGABSEN
25 MICHIGAN ST NE STE 2100
GRAND RAPIDS, MI 49503-2526
Phone number: 616-391-3777
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Mailing Address
ANTONIA BIH FOMUNYAM NYONGABSEN
25 MICHIGAN ST NE STE 2100
GRAND RAPIDS, MI 49503-2526
Phone number: 616-391-3777
Copy
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