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1194122150
MELLANEE ALLEN
DETROIT, MI
NPI
1194122150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703105216)
Enumeration Date
2014-11-19
Last Update Date
2014-11-19
Business Address
-- MELLANEE ALLEN
323 KEELSON DR
DETROIT, MI 48215-3062
Phone number: 313-378-6195
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Mailing Address
-- MELLANEE ALLEN
323 KEELSON DR
DETROIT, MI 48215-3062
Phone number: 313-378-6195
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