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1184274342
RENEE EDMISTEN
CANTON, MI
NPI
1184274342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703040080)
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
RENEE EDMISTEN LPN
43825 MICHIGAN AVE
CANTON, MI 48188-2551
Phone number: 734-397-3088
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Mailing Address
RENEE EDMISTEN LPN
31492 MERRIWOOD PARK DR
LIVONIA, MI 48152-4232
Phone number: 248-579-6236
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