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1225411416
JAMAL DEREK RIVERS
DETROIT, MI
NPI
1225411416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MI 374u00000X)
Enumeration Date
2015-07-07
Last Update Date
2015-07-07
Business Address
Mr. JAMAL DEREK RIVERS
8872 PREVOST ST
DETROIT, MI 48228-2177
Phone number: 248-633-5284
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Mailing Address
Mr. JAMAL DEREK RIVERS
8872 PREVOST ST
DETROIT, MI 48228-2177
Phone number: 248-633-5284
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