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1306928395
SCHAWANA THAXTON
DETROIT, MI
NPI
1306928395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MI 4704221417)
Enumeration Date
2006-10-19
Last Update Date
2021-06-21
Business Address
Mrs. SCHAWANA THAXTON NP
11260 E JEFFERSON AVE
DETROIT, MI 48214-3320
Phone number: 313-749-0148
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Mailing Address
Mrs. SCHAWANA THAXTON NP
PO BOX 746723
ATLANTA, GA 30374-6723
Phone number: 312-733-9730
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