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1265985089
AUTUMN SHORTER
INKSTER, MI
NPI
1265985089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703116990)
Enumeration Date
2016-07-28
Last Update Date
2016-07-28
Business Address
-- AUTUMN SHORTER
1427 MAGNOLIA DR
INKSTER, MI 48141-1784
Phone number: 313-740-8425
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Mailing Address
-- AUTUMN SHORTER
1427 MAGNOLIA DR
INKSTER, MI 48141-1784
Phone number: 313-740-8425
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