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1013407840
LATAVA SOLOMON
DETROIT, MI
NPI
1013407840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703119529)
Enumeration Date
2018-05-17
Last Update Date
2018-05-17
Business Address
LATAVA SOLOMON
20355 PLYMOUTH RD
DETROIT, MI 48228-1272
Phone number: 313-742-8842
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Mailing Address
LATAVA SOLOMON
20355 PLYMOUTH RD
DETROIT, MI 48228-1272
Phone number: 313-742-8842
Copy
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