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Individual

MARY KOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1532 PRAIRIE DR, SAINT JOSEPH, MI 49085-8695
(269) 501-3335
Mailing address
1532 PRAIRIE DR, SAINT JOSEPH, MI 49085-8695
(269) 501-3335

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703119533
MI

Other

Enumeration date
03/28/2018
Last updated
02/22/2019
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Product
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