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1194849943
KATIE BEATRIC RANDOLPH
DETROIT, MI
NPI
1194849943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: MI 4704115117)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- KATIE BEATRIC RANDOLPH RN
1151 TAYLOR ST DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX
DETROIT, MI 48202-1732
Phone number: 313-876-4322
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Mailing Address
-- KATIE BEATRIC RANDOLPH RN
4606 AUDUBON RD
DETROIT, MI 48224-2797
Phone number: 313-885-6433
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