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1033693916
KATIE CALLAWAY
DETROIT, MI
NPI
1033693916
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Former Name
KATIE SPADE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704297094)
Enumeration Date
2018-09-18
Last Update Date
2018-09-18
Business Address
Mrs. KATIE CALLAWAY NP
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-5260
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Mailing Address
Mrs. KATIE CALLAWAY NP
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-5260
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