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1114583127
MICHAEL WADE
CANTON, MI
NPI
1114583127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703117884)
Enumeration Date
2019-05-15
Last Update Date
2019-05-15
Business Address
MICHAEL WADE
6223 N CANTON CENTER RD
CANTON, MI 48187-2696
Phone number: 734-844-6533
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Mailing Address
MICHAEL WADE
6223 N CANTON CENTER RD
CANTON, MI 48187-2696
Phone number:
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