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1679645972
EDWARD NAZARENO
SOUTHGATE, MI
NPI
1679645972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301067719)
Enumeration Date
2006-11-14
Last Update Date
2008-01-30
Business Address
Dr. EDWARD NAZARENO m.d.
13650 FORT ST
SOUTHGATE, MI 48195-1152
Phone number: 734-281-2150
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Mailing Address
Dr. EDWARD NAZARENO m.d.
13650 FORT ST
SOUTHGATE, MI 48195-1152
Phone number: 734-281-2150
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