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1336743483
LATEASH TANIE PHILLIPS
DETROIT, MI
NPI
1336743483
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MI 230012906461206)
Enumeration Date
2020-11-29
Last Update Date
2020-11-29
Business Address
LATEASH TANIE PHILLIPS CNA
10410 LAKEPOINTE ST
DETROIT, MI 48224-2408
Phone number: 313-878-4349
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Mailing Address
LATEASH TANIE PHILLIPS CNA
10410 LAKEPOINTE ST
DETROIT, MI 48224-2408
Phone number: 313-878-4349
Copy
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