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1003225418
PAVI ELLE SHANELL POOLE
DETROIT, MI
NPI
1003225418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703113526)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
-- PAVI ELLE SHANELL POOLE
16874 AVON AVE
DETROIT, MI 48219-4143
Phone number: 734-837-2229
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Mailing Address
-- PAVI ELLE SHANELL POOLE
16874 AVON AVE
DETROIT, MI 48219-4143
Phone number: 734-837-2229
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