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1386007185
MODESTA ENECHUKWU
CANTON, MI
NPI
1386007185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703104340)
Enumeration Date
2016-03-30
Last Update Date
2016-03-30
Business Address
-- MODESTA ENECHUKWU
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187-2696
Phone number: 734-844-6533
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Mailing Address
-- MODESTA ENECHUKWU
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187-2696
Phone number: 734-844-6533
Copy
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