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1295277994
OCTAVIA WASHINGTON
DETROIT, MI
NPI
1295277994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2016-11-11
Last Update Date
2016-11-11
Business Address
-- OCTAVIA WASHINGTON
1423 FIELD ST
DETROIT, MI 48214-2321
Phone number: 313-942-7860
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Mailing Address
-- OCTAVIA WASHINGTON
1423 FIELD ST
DETROIT, MI 48214-2321
Phone number: 313-942-7860
Copy
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