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1235842915
VISMALOU VILLAGONZALO KIM
DETROIT, MI
NPI
1235842915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704260590)
Enumeration Date
2022-12-28
Last Update Date
2022-12-28
Business Address
VISMALOU VILLAGONZALO KIM Nurse
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
VISMALOU VILLAGONZALO KIM Nurse
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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