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1104090133
KIMBERLY GRAY
DETROIT, MI
NPI
1104090133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI L1128398)
Enumeration Date
2008-04-22
Last Update Date
2008-04-22
Business Address
-- KIMBERLY GRAY
2051 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-961-3739
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Mailing Address
-- KIMBERLY GRAY
2051 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-961-3739
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