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1225883853
MERCEDES WALLACE
DETROIT, MI
NPI
1225883853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2024-04-18
Last Update Date
2024-04-18
Business Address
MERCEDES WALLACE
18821 KEYSTONE ST
DETROIT, MI 48234-2332
Phone number: 313-681-3944
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Mailing Address
MERCEDES WALLACE
46040 LAKE VILLA DR APT 202
BELLEVILLE, MI 48111-3108
Phone number: 313-681-3944
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