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1083269245
AVIS J DORSEY
LIVONIA, MI
NPI
1083269245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704302281)
Enumeration Date
2019-08-05
Last Update Date
2019-08-05
Business Address
AVIS J DORSEY
12031 CARDWELL ST
LIVONIA, MI 48150-2355
Phone number: 248-982-7385
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Mailing Address
AVIS J DORSEY
12031 CARDWELL ST
LIVONIA, MI 48150-2355
Phone number: 248-982-7385
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