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1376100784
IVY GODANA
LANSING, MI
NPI
1376100784
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA 20A22822)
Enumeration Date
2019-05-21
Last Update Date
2024-08-20
Business Address
IVY GODANA DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
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Mailing Address
IVY GODANA DO
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
Copy
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