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1083638993
LAWANDA HICKS AGBASSI
LIVONIA, MI
NPI
1083638993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704163985)
Enumeration Date
2006-07-26
Last Update Date
2016-08-01
Business Address
-- LAWANDA HICKS AGBASSI NP
15357 FARMINGTON RD SUITE 2
LIVONIA, MI 48154-2863
Phone number: 313-282-4527
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Mailing Address
-- LAWANDA HICKS AGBASSI NP
8586 BUCKLAND DR
SOUTH LYON, MI 48178-9616
Phone number:
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