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1598476574
JACOB HUMENIK
CANTON, MI
NPI
1598476574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704343272)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
JACOB HUMENIK RN
5900 N LOTZ RD
CANTON, MI 48187-4331
Phone number: 734-394-4500
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Mailing Address
JACOB HUMENIK RN
5900 N LOTZ RD
CANTON, MI 48187-4331
Phone number:
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