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1841870581
JENNY IMPEMBA
DETROIT, MI
NPI
1841870581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
JENNY IMPEMBA DO
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201-2153
Phone number: 313-745-5146
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Mailing Address
JENNY IMPEMBA DO
16685 SARNO DR
MACOMB, MI 48044-4819
Phone number:
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