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1124006259
VICKI MANZANO
OKEMOS, MI
NPI
1124006259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101008025)
Enumeration Date
2006-01-09
Last Update Date
2008-03-17
Business Address
-- VICKI MANZANO DO
2154 COMMONS PKWY
OKEMOS, MI 48864-3986
Phone number: 517-706-0444
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Mailing Address
-- VICKI MANZANO DO
2154 COMMONS PKWY
OKEMOS, MI 48864-3986
Phone number: 517-706-0444
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