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Individual
MICHAEL PAUL CANTU
Active
Individual
MICHAEL PAUL CANTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704308380
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704308380
MI
Other
Enumeration date
10/12/2021
Last updated
10/26/2023
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