IMAOBONG IBOKETTE VANDERPOOL

SOUTHFIELD, MI
NPI1841849544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MI  4704313471)
Enumeration Date2019-09-05
Last Update Date2019-09-05
Business Address
IMAOBONG IBOKETTE VANDERPOOL NP
17256 ROSELAND BLVD
SOUTHFIELD, MI 48076-2823
Phone number: 248-388-0881
Mailing Address
IMAOBONG IBOKETTE VANDERPOOL NP
17256 ROSELAND BLVD
SOUTHFIELD, MI 48076-2823
Phone number: 248-388-0881
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