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1316760671
CHANIQUE TACHELLE JOHNSON
DETROIT, MI
NPI
1316760671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2024-11-05
Last Update Date
2024-11-05
Business Address
CHANIQUE TACHELLE JOHNSON
8275 BINGHAM
DETROIT, MI 48228
Phone number: 313-655-4003
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Mailing Address
CHANIQUE TACHELLE JOHNSON
8275 BINGHAM
DETROIT, MI 48228
Phone number: 313-655-4003
Copy
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