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Individual

JUDY MARLENE KAPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1525 W CARO RD, CARO, MI 48723-9260
(989) 672-2100
(989) 672-2120
Mailing address
3061 CHRISTY WAY, SAGINAW, MI 48603-2267
(989) 791-2455
(989) 791-1392

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4704166784
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740467844
MI
Enumeration date
01/31/2008
Last updated
06/23/2008
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