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1457985780
MICHAEL ALFRED VANWASSHENOVA
MONROE, MI
NPI
1457985780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302032982)
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
Dr. MICHAEL ALFRED VANWASSHENOVA PharmD
919 S MONROE ST
MONROE, MI 48161-1442
Phone number: 734-384-9559
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Mailing Address
Dr. MICHAEL ALFRED VANWASSHENOVA PharmD
919 S MONROE ST
MONROE, MI 48161-1442
Phone number: 734-384-9559
Copy
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