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1790355907
GABRIEL TAKUH
PORTAGE, MI
NPI
1790355907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704281691)
Enumeration Date
2021-06-29
Last Update Date
2021-06-29
Business Address
GABRIEL TAKUH
1588 DRAYTON CT
PORTAGE, MI 49002-7293
Phone number: 269-779-6415
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Mailing Address
GABRIEL TAKUH
1588 DRAYTON CT
PORTAGE, MI 49002-7293
Phone number: 269-779-6415
Copy
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