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1215284583
DIVINE MEDICAL CENTER P C
DETROIT, MI
NPI
1215284583
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Entity Type
Organization
Authorized Contact
CERMEN CARDONA
President
313-393-3141
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2012-08-06
Last Update Date
2012-08-06
Business Address
DIVINE MEDICAL CENTER P C
901 W GRAND BLVD
DETROIT, MI 48208-2353
Phone number: 313-393-3141
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Mailing Address
DIVINE MEDICAL CENTER P C
PO BOX 806464
SAINT CLAIR SHORES, MI 48080-6464
Phone number: 313-393-3141
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