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1295800449
MICHAEL RAYMOND IMBLEAU
PORT HURON, MI
NPI
1295800449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704234499)
Enumeration Date
2006-11-22
Last Update Date
2007-07-08
Business Address
-- MICHAEL RAYMOND IMBLEAU crna
1221 PINE GROVE AVE
PORT HURON, MI 48060-3511
Phone number: 810-989-3754
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Mailing Address
-- MICHAEL RAYMOND IMBLEAU crna
1221 PINE GROVE AVE
PORT HURON, MI 48060-3511
Phone number: 810-989-3754
Copy
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