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1215540430
SHERONDA LANETTA BLACKMON
DETROIT, MI
NPI
1215540430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703080391)
Enumeration Date
2020-08-27
Last Update Date
2020-08-27
Business Address
SHERONDA LANETTA BLACKMON LPN
13929 HARPER AVE.
DETROIT, MI 48213
Phone number: 313-371-0055
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Mailing Address
SHERONDA LANETTA BLACKMON LPN
13929 HARPER AVE
DETROIT, MI 48213-3672
Phone number: 313-371-0055
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