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Individual

MRS. JOANI ELLEN HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
(989) 631-3343
Mailing address
218 FAST ICE DR, MIDLAND, MI 48642-6167
(989) 631-2320
(989) 631-3343

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
6802072731
MI

Other

Enumeration date
01/23/2014
Last updated
01/23/2014
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