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Individual

HAROLD DAUPAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
243 VAN SULL ST, WESTLAND, MI 48185-3605
(609) 356-4172
Mailing address
243 VAN SULL ST, WESTLAND, MI 48185-3605
(609) 356-4172

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4704319643
MI

Other

Enumeration date
08/10/2016
Last updated
08/10/2016
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