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Individual

MUFAROWASHE MOYO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1615 GREG RD, STEVENSVILLE, MI 49127-8611
(917) 923-9111
Mailing address
1615 GREG RD, STEVENSVILLE, MI 49127-8611
(917) 923-9111

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105060
MI

Other

Enumeration date
04/01/2015
Last updated
04/01/2015
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