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1023886751
LATASHA KELLER
DETROIT, MI
NPI
1023886751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MI 4704309517)
Enumeration Date
2023-12-12
Last Update Date
2023-12-12
Business Address
LATASHA KELLER
111 W 7 MILE RD
DETROIT, MI 48203-1968
Phone number: 313-369-2600
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Mailing Address
LATASHA KELLER
24463 MILLSTREAM
NOVI, MI 48375-2971
Phone number:
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