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1093113797
CHRISEANA HERNDON
DETROIT, MI
NPI
1093113797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703105966)
Enumeration Date
2014-12-11
Last Update Date
2014-12-11
Business Address
-- CHRISEANA HERNDON
9445 MANISTIQUE ST
DETROIT, MI 48224-2864
Phone number: 313-348-6988
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Mailing Address
-- CHRISEANA HERNDON
9445 MANISTIQUE ST
DETROIT, MI 48224-2864
Phone number: 313-348-6988
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