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1114568409
VANESSA GWYNN
DETROIT, MI
NPI
1114568409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
VANESSA GWYNN
4450 FAIRVIEW ST
DETROIT, MI 48214-1610
Phone number: 313-918-7619
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Mailing Address
VANESSA GWYNN
4450 FAIRVIEW ST
DETROIT, MI 48214-1610
Phone number:
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