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1275255523
VIDAL HARRISON
DETROIT, MI
NPI
1275255523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704203331)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
VIDAL HARRISON
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
VIDAL HARRISON
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number:
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