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1457705725
VERA ILDEFONSO
WATERFORD, MI
NPI
1457705725
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704244192)
Enumeration Date
2016-04-22
Last Update Date
2016-04-22
Business Address
-- VERA ILDEFONSO
6484 LENNOX CT
WATERFORD, MI 48327-1414
Phone number: 248-310-6730
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Mailing Address
-- VERA ILDEFONSO
6484 LENNOX CT
WATERFORD, MI 48327-1414
Phone number: 248-310-6730
Copy
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