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Individual

SANDRA HOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
27002 S PRENTISS BAY RD, GOETZVILLE, MI 49736-9340
(802) 299-9650
Mailing address
27002 S PRENTISS BAY RD, GOETZVILLE, MI 49736-9340
(802) 299-9650

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
247200000X
TECHNICIAN
MI
Enumeration date
10/07/2016
Last updated
10/07/2016
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