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1265067318
KELLEY PARK
DETROIT, MI
NPI
1265067318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-10
Last Update Date
2020-03-10
Business Address
KELLEY PARK
540 E CANFIELD ST
DETROIT, MI 48201-1928
Phone number: 313-577-1466
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Mailing Address
KELLEY PARK
540 E CANFIELD ST
DETROIT, MI 48201-1928
Phone number:
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