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Individual

JEFFREY PAUL CATES

Active
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Individual

JEFFREY PAUL CATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2102185764
MI
171WH0202X
Home Modifications Contractor
2102185764
MI
332B00000X
Durable Medical Equipment & Medical Supplies
2102185764
MI
332BC3200X
Customized Equipment (DME)
2102185764
MI

Other

Enumeration date
04/16/2019
Last updated
04/10/2020
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