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1255730057
SHAVONNE TANKERSLEY
LINCOLN PARK, MI
NPI
1255730057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703111700)
Enumeration Date
2014-08-18
Last Update Date
2014-08-18
Business Address
-- SHAVONNE TANKERSLEY
1588 LONDON AVE
LINCOLN PARK, MI 48146-3522
Phone number: 313-740-0590
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Mailing Address
-- SHAVONNE TANKERSLEY
1588 LONDON AVE
LINCOLN PARK, MI 48146-3522
Phone number: 313-740-0590
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