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1093027450
LETACIA DENISE THOMAS
WAYNE, MI
NPI
1093027450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301097310)
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
LETACIA DENISE THOMAS M.D.
33155 ANNAPOLIS ST
WAYNE, MI 48184-2405
Phone number: 313-436-2577
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Mailing Address
LETACIA DENISE THOMAS M.D.
16037 KNOLLWOOD DR
DEARBORN, MI 48120-1309
Phone number: 404-429-0432
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