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1215573811
SYTRISS LASEAN MITCHELL
CANTON, MI
NPI
1215573811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703118271)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
SYTRISS LASEAN MITCHELL LPN
1638 EAST LAKEVIEW LANE
CANTON, MI 48187
Phone number: 734-223-0520
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Mailing Address
SYTRISS LASEAN MITCHELL LPN
33006 7 MILE RD STE 412
LIVONIA, MI 48152-1358
Phone number: 734-223-0520
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