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1194090548
JULIANNE LONGLADE
DETROIT, MI
NPI
1194090548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704141308)
Enumeration Date
2012-03-19
Last Update Date
2012-03-19
Business Address
Ms. JULIANNE LONGLADE NP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-3498
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Mailing Address
Ms. JULIANNE LONGLADE NP
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-3498
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