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1174262240
RUSSELL PAYNES
DETROIT, MI
NPI
1174262240
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-05-27
Last Update Date
2022-05-27
Business Address
RUSSELL PAYNES
6855 MONTROSE ST
DETROIT, MI 48228-3793
Phone number: 313-970-8155
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Mailing Address
RUSSELL PAYNES
6855 MONTROSE ST
DETROIT, MI 48228-3793
Phone number: 313-970-8155
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