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1083111009
PATRICIA WILLIS
DETROIT, MI
NPI
1083111009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703088668)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
PATRICIA WILLIS
18650 LAUDER ST
DETROIT, MI 48235-2758
Phone number: 313-728-4007
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Mailing Address
PATRICIA WILLIS
18650 LAUDER ST
DETROIT, MI 48235-2758
Phone number: 313-728-4007
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