EMMA L MUPOTSA

EAU CLAIRE, MI
NPI1962864934
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902017595)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- EMMA L MUPOTSA RDH
6270 W MAIN ST INTERCARE COMMUNITY HEALTH NETWORK
EAU CLAIRE, MI 49111-9480
Phone number: 269-461-6927
Mailing Address
-- EMMA L MUPOTSA RDH
50 INDUSTRIAL PARK ROAD
BANGOR, MI 49013
Phone number: 269-427-7937
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