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1912754169
EDIDIONG MACDONALD OKON BEN
DETROIT, MI
NPI
1912754169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-06
Last Update Date
2024-05-06
Business Address
Dr. EDIDIONG MACDONALD OKON BEN MD
4201 SAINT ANTOINE ST STE 6A
DETROIT, MI 48201-2153
Phone number: 313-745-4627
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Mailing Address
Dr. EDIDIONG MACDONALD OKON BEN MD
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201-2153
Phone number: 313-745-5147
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