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1376371708
MNYISEI ELAINE KAMVAZAANA
LAKE STATION, IN
NPI
1376371708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: IN 71015457A)
Enumeration Date
2024-07-25
Last Update Date
2024-07-25
Business Address
MNYISEI ELAINE KAMVAZAANA NP
2490 CENTRAL AVE
LAKE STATION, IN 46405-2122
Phone number: 219-763-8112
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Mailing Address
MNYISEI ELAINE KAMVAZAANA NP
2396 BUTTERFLY LN
BERRIEN SPRINGS, MI 49103-8501
Phone number: 269-815-2444
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