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Individual

BRENDA GAMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14578 THOMAS, TAYLOR, MI 48180
(863) 326-0314
Mailing address
14578 THOMAS, TAYLOR, MI 48180
(863) 326-0314

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113102
MI

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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