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1134434822
CRYSTAL M RIVETT
DETROIT, MI
NPI
1134434822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704221117)
Enumeration Date
2010-08-18
Last Update Date
2016-10-11
Business Address
-- CRYSTAL M RIVETT CNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-9505
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Mailing Address
-- CRYSTAL M RIVETT CNP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-9505
Copy
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