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1740491877
IMABONG UDOFIA
DETROIT, MI
NPI
1740491877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302032030)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Miss IMABONG UDOFIA rph
15531 GRAND RIVER AVE
DETROIT, MI 48227-2222
Phone number: 313-272-0202
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Mailing Address
Miss IMABONG UDOFIA rph
19180 W 11 MILE RD
LATHRUP VILLAGE, MI 48076-3207
Phone number: 248-569-3036
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