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Individual

CONSTANCE ELAINE SANOCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
5333 MCAULEY DR, STE. 3001, YPSILANTI, MI 48197-1014
(734) 712-8100
(734) 712-8112
Mailing address
5333 MCAULEY DR, STE. 3001, YPSILANTI, MI 48197-1014
(734) 712-8100
(734) 712-8112

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CS190860
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CS190860
STATE LICENSE
MI
Enumeration date
06/30/2009
Last updated
06/30/2009
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