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1326530395
SHAVON CHARLESTON
CANTON, MI
NPI
1326530395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703105581)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
SHAVON CHARLESTON
43825 MICHIGAN AVE
CANTON, MI 48188-2551
Phone number: 734-397-3088
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Mailing Address
SHAVON CHARLESTON
26845 DOVER
REDFORD, MI 48239-1919
Phone number:
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