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1134873524
BRIAN MANGENJE
MACOMB, MI
NPI
1134873524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704278568)
Enumeration Date
2022-02-05
Last Update Date
2022-02-05
Business Address
BRIAN MANGENJE FNP-BC
17866 PLAYER DR
MACOMB, MI 48042-1762
Phone number: 248-413-5014
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Mailing Address
BRIAN MANGENJE FNP-BC
17866 PLAYER DR
MACOMB, MI 48042-1762
Phone number: 248-413-5013
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