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1295570489
NATHANIEL LATTA
CLINTON TOWNSHIP, MI
NPI
1295570489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2472R0900X Technician, Other, Renal Dialysis
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
NATHANIEL LATTA
41959 CLINTON PINES DR
CLINTON TOWNSHIP, MI 48038-2206
Phone number: 313-932-0925
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Mailing Address
NATHANIEL LATTA
41959 CLINTON PINES DR
CLINTON TOWNSHIP, MI 48038-2206
Phone number:
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