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1154719284
MODESTY NELSON
DETROIT, MI
NPI
1154719284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703113349)
Enumeration Date
2014-12-23
Last Update Date
2014-12-23
Business Address
-- MODESTY NELSON
16834 FIELDING ST
DETROIT, MI 48219-3347
Phone number: 313-492-4713
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Mailing Address
-- MODESTY NELSON
16834 FIELDING ST
DETROIT, MI 48219-3347
Phone number: 313-492-4713
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