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1710365481
MARIE MICHELLE EZENWOKEMODO
CANTON, MI
NPI
1710365481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703110083)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
-- MARIE MICHELLE EZENWOKEMODO
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187-2696
Phone number: 734-844-6533
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Mailing Address
-- MARIE MICHELLE EZENWOKEMODO
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187-2696
Phone number: 734-844-6533
Copy
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