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1982156519
ANGELA MODER
SOUTHFIELD, MI
NPI
1982156519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704297140)
Enumeration Date
2016-10-31
Last Update Date
2018-03-17
Business Address
Mrs. ANGELA MODER FNP-C
23832 SOUTHFIELD RD
SOUTHFIELD, MI 48075-8000
Phone number: 248-569-2600
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Mailing Address
Mrs. ANGELA MODER FNP-C
603 DEVILLEN AVE
ROYAL OAK, MI 48073-3653
Phone number: 248-703-3536
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