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1417671108
ANGELA BOLOGNA
SOUTHGATE, MI
NPI
1417671108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-09-27
Last Update Date
2022-09-27
Business Address
ANGELA BOLOGNA BS
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
ANGELA BOLOGNA BS
271 KENYON DR
TROY, MI 48083-1048
Phone number: 586-337-1406
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