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1316495666
VICTORIA ERVIN
DETROIT, MI
NPI
1316495666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704323788)
Enumeration Date
2016-09-15
Last Update Date
2016-09-27
Business Address
Ms. VICTORIA ERVIN NP-C
4100 JOHN R ST MAILCODE WB01AO
DETROIT, MI 48201-2013
Phone number: 313-576-8355
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Mailing Address
Ms. VICTORIA ERVIN NP-C
1560 E MAPLE RD SUITE 400- CREDENTIALING
TROY, MI 48083-1138
Phone number: 800-527-6266
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