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Individual

ERNADA DOKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1998 BIDDLE AVE, WYANDOTTE, MI 48192-3907
(734) 285-4100
Mailing address
1998 GRANGE RD, TRENTON, MI 48183-1741

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041092
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5302041092
LICENSE
MI
Enumeration date
09/14/2016
Last updated
09/14/2016
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