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Organization

INCINGO SOURCE MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONYA FUJII (DIRECTOR OF OPERATIONS)
(844) 631-8709
Entity
Organization

Contact information

Practice address
112 S MAIN ST, SUITE A, ANN ARBOR, MI 48104-1953
(844) 631-8709
Mailing address
112 SOUTH MAIN ST, SUITE A, ANN ARBOR, MI 48104

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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