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1144769290
SHAMIKKA TASLEY
DETROIT, MI
NPI
1144769290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703115324)
Enumeration Date
2017-02-21
Last Update Date
2017-02-22
Business Address
-- SHAMIKKA TASLEY
9910 VAUGHAN ST
DETROIT, MI 48228-1334
Phone number: 313-544-8603
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Mailing Address
-- SHAMIKKA TASLEY
9910 VAUGHAN ST
DETROIT, MI 48228-1334
Phone number: 313-544-8603
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