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1134501398
DEMETRA DILLARD
DETROIT, MI
NPI
1134501398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703107207)
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
-- DEMETRA DILLARD
9736 OTSEGO ST
DETROIT, MI 48204-3900
Phone number: 586-801-9942
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Mailing Address
-- DEMETRA DILLARD
9736 OTSEGO ST
DETROIT, MI 48204-3900
Phone number: 586-801-9942
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