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1023450053
MARLENA SHAW
NOVI, MI
NPI
1023450053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703111716)
Enumeration Date
2013-07-18
Last Update Date
2013-07-18
Business Address
MARLENA SHAW
41621 W 11 MILE RD
NOVI, MI 48375-1804
Phone number: 248-299-0030
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Mailing Address
MARLENA SHAW
25572 W 12 MILE RD #304
SOUTHFIELD, MI 48034-8047
Phone number:
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