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1184212003
LASHONDA NICOLE CRISP
DETROIT, MI
NPI
1184212003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704307148)
Enumeration Date
2021-01-06
Last Update Date
2021-01-28
Business Address
LASHONDA NICOLE CRISP NP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-2600
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Mailing Address
LASHONDA NICOLE CRISP NP
21800 CONCORD CT
SOUTHFIELD, MI 48076-4844
Phone number: 313-671-3438
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