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1053165787
YAACOB ALLEN
DETROIT, MI
NPI
1053165787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703121812)
Enumeration Date
2024-04-17
Last Update Date
2024-04-17
Business Address
YAACOB ALLEN
14242 RIVERVIEW ST APT 116
DETROIT, MI 48223-2437
Phone number: 313-753-3384
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Mailing Address
YAACOB ALLEN
14242 RIVERVIEW ST APT 116
DETROIT, MI 48223-2437
Phone number:
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