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1003936832
NUTRENA TATE
DETROIT, MI
NPI
1003936832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704209389)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
NUTRENA TATE CNP
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-5437
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Mailing Address
NUTRENA TATE CNP
3901 BEAUBIEN 5TH FLOOR CARLS BLDG
DETROIT, MI 48201
Phone number: 313-745-4000
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