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1023496288
RENAE FULKS
SOUTHGATE, MI
NPI
1023496288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703111417)
Enumeration Date
2015-05-08
Last Update Date
2015-05-08
Business Address
-- RENAE FULKS
13460 CAMBRIDGE ST APT 203
SOUTHGATE, MI 48195-1540
Phone number: 734-444-6831
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Mailing Address
-- RENAE FULKS
13460 CAMBRIDGE ST APT 203
SOUTHGATE, MI 48195-1540
Phone number: 734-444-6831
Copy
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