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Individual

JOSE JESUS ESCAMILLA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
924 BENTLEY ST, CHESANING, MI 48616-1406
(989) 323-9465
Mailing address
924 BENTLEY ST, CHESANING, MI 48616-1406

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704312765
MI

Other

Enumeration date
03/01/2019
Last updated
03/01/2019
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