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1184143182
BRITTANY SHANAE FORD
DETROIT, MI
NPI
1184143182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704329970)
Enumeration Date
2017-09-12
Last Update Date
2017-09-12
Business Address
BRITTANY SHANAE FORD
9605 GRAND RIVER AVE
DETROIT, MI 48204-2139
Phone number: 313-834-5930
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Mailing Address
BRITTANY SHANAE FORD
17624 GATEWAY CIR
SOUTHFIELD, MI 48075-4718
Phone number: 313-673-2345
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