IVAN MAURICIO GUILLERMO COLUMBUS MORALES

DETROIT, MI
NPI1376038075
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-25
Last Update Date2018-06-25
Business Address
IVAN MAURICIO GUILLERMO COLUMBUS MORALES
2501 S LA SALLE GDNS
DETROIT, MI 48206-2510
Phone number: 313-699-0063
Mailing Address
IVAN MAURICIO GUILLERMO COLUMBUS MORALES
2501 S LA SALLE GDNS
DETROIT, MI 48206-2510
Phone number: 313-699-0063
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