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1205667730
DESTINY COUNTRYMAN
DETROIT, MI
NPI
1205667730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-08-07
Last Update Date
2024-08-07
Business Address
DESTINY COUNTRYMAN
22225 FENKELL ST
DETROIT, MI 48223-1534
Phone number: 313-900-1326
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Mailing Address
DESTINY COUNTRYMAN
22225 FENKELL ST
DETROIT, MI 48223-1534
Phone number: 313-900-1326
Copy
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