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1184734980
GRACE LEYSON ROSETE-LASALA
DEARBORN HEIGHTS, MI
NPI
1184734980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704230094)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- GRACE LEYSON ROSETE-LASALA
26001 FORD RD
DEARBORN HEIGHTS, MI 48127
Phone number: 313-274-4600
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Mailing Address
-- GRACE LEYSON ROSETE-LASALA
9938 ALLEN POINT DR
ALLEN PARK, MI 48101
Phone number: 313-928-4475
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