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Individual

JOLENE MARIE KANYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1107 S SAGINAW RD, MIDLAND, MI 48640-6852
(989) 839-2312
Mailing address
81 N LITTLETOWN RD, GLADWIN, MI 48624-8491
(320) 219-0776

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703106555
MI

Other

Enumeration date
09/18/2024
Last updated
09/18/2024
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