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1174663074
CHRISTINE RENEE CONNER-BONGO
DEARBORN, MI
NPI
1174663074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704181197)
Enumeration Date
2007-02-08
Last Update Date
2017-04-03
Business Address
Miss CHRISTINE RENEE CONNER-BONGO NP-C
4700 SCHAEFER RD
DEARBORN, MI 48126-3698
Phone number: 888-562-5442
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Mailing Address
Miss CHRISTINE RENEE CONNER-BONGO NP-C
200 OCEANGATE #100
LONG BEACH, CA 90802-4317
Phone number: 562-499-6191
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