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Individual

ROBERT WOOTEN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
825 CLINTON RIVER DR APT 5B, MOUNT CLEMENS, MI 48043-2419
(586) 265-6146
Mailing address
825 CLINTON RIVER DR, MOUNT CLEMENS, MI 48043-2499
(586) 265-6146

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
11/24/2017
Last updated
11/24/2017
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