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1033853650
DESTINY KELLAM
DETROIT, MI
NPI
1033853650
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-21
Last Update Date
2022-04-21
Business Address
DESTINY KELLAM MD
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3300
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Mailing Address
DESTINY KELLAM MD
25920 AVONDALE ST
INKSTER, MI 48141-1933
Phone number: 313-539-0082
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