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1215202171
STEPHANIE LYNN KANGAS
DETROIT, MI
NPI
1215202171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704249196)
Enumeration Date
2012-03-12
Last Update Date
2012-03-12
Business Address
-- STEPHANIE LYNN KANGAS ANP-BC
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
-- STEPHANIE LYNN KANGAS ANP-BC
1338 OXFORD RD
BERKLEY, MI 48072-2074
Phone number: 248-563-9355
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