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Individual

ONOME AKISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
25083 ROSS DR, REDFORD, MI 48239-3363
(248) 254-2285
Mailing address
PO BOX 760506, LATHRUP VILLAGE, MI 48076-0506
(248) 254-2285

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704292734
MI

Other

Enumeration date
01/29/2019
Last updated
01/29/2019
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