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1366164717
EDGAR JEREZA BILBAO
DETROIT, MI
NPI
1366164717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse, Medical-Surgical
(Licence: MI 4704202321)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
EDGAR JEREZA BILBAO
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
EDGAR JEREZA BILBAO
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number:
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