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1144072224
FERNANDO R WILLIS
DETROIT, MI
NPI
1144072224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2024-04-03
Last Update Date
2025-01-07
Business Address
FERNANDO R WILLIS
8881 CLOVERLAWN ST
DETROIT, MI 48204-2728
Phone number: 313-473-9014
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Mailing Address
FERNANDO R WILLIS
17606 SAN JUAN DR
DETROIT, MI 48221-2698
Phone number: 313-473-9014
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