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Individual

MILEMBE MKONO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
31194 SHORECREST DR, NOVI, MI 48377-4703
(248) 766-6798
Mailing address
31194 SHORECREST DR, NOVI, MI 48377-4703
(248) 766-6798

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110281
MI

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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