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1487162541
LANCE VALENTINE KONGEAL
LIVONIA, MI
NPI
1487162541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704279097)
Enumeration Date
2018-01-11
Last Update Date
2018-01-11
Business Address
LANCE VALENTINE KONGEAL RN
33505 SCHOOLCRAFT RD
LIVONIA, MI 48150-1630
Phone number: 734-721-0200
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Mailing Address
LANCE VALENTINE KONGEAL RN
1312 CICOTTE AVE
LINCOLN PARK, MI 48146-1602
Phone number: 248-843-7228
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