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1295159192
WANDA BANFORD
DETROIT, MI
NPI
1295159192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-02-12
Last Update Date
2014-02-12
Business Address
-- WANDA BANFORD
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-345-4310
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Mailing Address
-- WANDA BANFORD
9340 RUTHERFORD ST
DETROIT, MI 48228-5002
Phone number: 313-345-4310
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