ANTOINETTE POUOKAM-LONGMO

SOUTHGATE, MI
NPI1770144370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704281627)
Enumeration Date2019-06-25
Last Update Date2023-12-12
Business Address
ANTOINETTE POUOKAM-LONGMO
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 877-299-1655
Mailing Address
ANTOINETTE POUOKAM-LONGMO
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 877-299-1655
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