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Nathan Sanders

Technician, Other in Clinton Township, MI. Individual provider (NPI-1).

NPI number1376998625
StatusActive
Last updated in NPPESApr 24, 2016

Details

NPI
1376998625
Entity type
Individual (NPI-1)
Name
Nathan Sanders
Sex
Male
Sole proprietor
No
Enumeration date
Apr 24, 2016
Last updated
Apr 24, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

19746 Stafford St
Clinton Township, MI 48035-4057

Phone 586-209-9377

Mailing address

19746 Stafford St
Clinton Township, MI 48035-4057

Phone 586-209-9377

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