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1093981037
SHEBA GUSTOVA BROOKS
SOUTHFIELD, MI
NPI
1093981037
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Former Name
SHEBA GUSTOVA BEAUMONT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703096450)
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
Mrs. SHEBA GUSTOVA BROOKS LPN
23588 LEE LN
SOUTHFIELD, MI 48033-3101
Phone number: 313-447-7619
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Mailing Address
Mrs. SHEBA GUSTOVA BROOKS LPN
23588 LEE LN
SOUTHFIELD, MI 48033-3101
Phone number: 313-447-7619
Copy
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