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1295371649
ANGELA LAVERNE WATKINS
SOUTHFIELD, MI
NPI
1295371649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704222141)
Enumeration Date
2019-11-20
Last Update Date
2019-11-20
Business Address
ANGELA LAVERNE WATKINS
22250 PROVIDENCE DR STE 406
SOUTHFIELD, MI 48075-6212
Phone number: 248-557-9010
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Mailing Address
ANGELA LAVERNE WATKINS
17030 CARRIAGE WAY
NORTHVILLE, MI 48168-6602
Phone number: 313-949-2620
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