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1003678491
MICHIGAN MAGICAL
DETROIT, MI
NPI
1003678491
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Entity Type
Organization
Authorized Contact
JEVON JOHNSON
Mental Health Specialist
313-587-6940
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2024-01-30
Last Update Date
2024-01-30
Business Address
MICHIGAN MAGICAL
5870 OAKMAN BLVD
DETROIT, MI 48204-3060
Phone number: 313-587-6940
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Mailing Address
MICHIGAN MAGICAL
PO BOX 7048
DEARBORN, MI 48121-7048
Phone number: 313-587-6940
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