EDGAR JOSE PAZ CONCHO

DETROIT, MI
NPI1376221697
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  4351051494)
Enumeration Date2023-07-06
Last Update Date2023-07-06
Business Address
-- EDGAR JOSE PAZ CONCHO
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-7233
Mailing Address
-- EDGAR JOSE PAZ CONCHO
3212 WOODLAND AVE
ROYAL OAK, MI 48073-2358
Phone number: 248-321-2209
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