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1316182231
SHANDA A PICKETT
DETROIT, MI
NPI
1316182231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703113183)
Enumeration Date
2008-12-05
Last Update Date
2014-10-25
Business Address
-- SHANDA A PICKETT lpn
8201 GRANDVILLE AVE 1
DETROIT, MI 48228-3007
Phone number: 248-818-2862
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Mailing Address
-- SHANDA A PICKETT lpn
8201 GRANDVILLE AVE 1
DETROIT, MI 48228-3007
Phone number: 248-818-2862
Copy
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