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1659888980
MELANIE FRAGOSO
LIVONIA, MI
NPI
1659888980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704296999NSA17640)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
Mrs. MELANIE FRAGOSO CRNA
36475 FIVE MILE RD
LIVONIA, MI 48154-1971
Phone number: 734-655-4800
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Mailing Address
Mrs. MELANIE FRAGOSO CRNA
15 E KIRBY ST APT 1031
DETROIT, MI 48202-4043
Phone number: 248-345-9932
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