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1255111977
LYSA GREENIDGE
DETROIT, MI
NPI
1255111977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: MI 4704279379)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
LYSA GREENIDGE Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-6340
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Mailing Address
LYSA GREENIDGE Registered Nurse
6444 HURON ST
TAYLOR, MI 48180-1951
Phone number: 248-469-7028
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