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1134745995
JUANITA CHARLESTON
DETROIT, MI
NPI
1134745995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
JUANITA CHARLESTON
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-855-6035
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Mailing Address
JUANITA CHARLESTON
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-345-4310
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