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1134470776
LILLIAN PATRICIA HATHORNE
DETROIT, MI
NPI
1134470776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2012-09-22
Last Update Date
2012-09-22
Business Address
-- LILLIAN PATRICIA HATHORNE
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
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Mailing Address
-- LILLIAN PATRICIA HATHORNE
31145 WELLINGTON DR APARTMENT 22303
NOVI, MI 48377-4168
Phone number: 734-306-6382
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