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MABELL OMOYE SCOTT LPN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1689095093

Individual Registrant:
 MABELL OMOYE SCOTT LPN
Gender: F
Sole Proprietor

Location and contact information for practice:
724 OWL COURT  WOLVERINE LAKE, MI 48390 US
Tel: 313-675-5341  Fax: --

Contact information for business:
724 OWL CT  WOLVERINE LAKE, MI 48390-3066 US
Tel: 313-675-5341  Fax: --

Registration Information:
NPI: 1689095093
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
MI4703110100
N251E00000XAgencies
Home Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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