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1184302531
MARKETTA LATESE HARDAWAY
DETROIT, MI
NPI
1184302531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: MI 4704368254)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
MARKETTA LATESE HARDAWAY
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
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Mailing Address
MARKETTA LATESE HARDAWAY
2925 RUSSELL ST
DETROIT, MI 48207-4825
Phone number: 313-396-5300
Copy
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