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1083865208
ANDREA VIRETTA JOHNSON
DETROIT, MI
NPI
1083865208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703054592)
Enumeration Date
2008-10-07
Last Update Date
2008-10-07
Business Address
Ms. ANDREA VIRETTA JOHNSON LPN
13340 E WARREN AVE
DETROIT, MI 48215-2112
Phone number: 313-822-6940
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Mailing Address
Ms. ANDREA VIRETTA JOHNSON LPN
13340 E. WARREN AVENUE
DETROIT, MI 48215
Phone number: 313-822-6940
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