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1134855729
SHAVONNE IRVIN
DETROIT, MI
NPI
1134855729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-07-27
Last Update Date
2022-09-08
Business Address
SHAVONNE IRVIN
20417 SANTA ROSA DR
DETROIT, MI 48221-1244
Phone number: 313-265-7490
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Mailing Address
SHAVONNE IRVIN
20417 SANTA ROSA DR
DETROIT, MI 48221-1244
Phone number: 313-265-7490
Copy
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