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1346588076
HAROLD ALPHONSO RUDOLPH
DETROIT, MI
NPI
1346588076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: MI 820174)
Enumeration Date
2013-01-31
Last Update Date
2013-01-31
Business Address
Mr. HAROLD ALPHONSO RUDOLPH
1852 W GRAND BLVD
DETROIT, MI 48208-1006
Phone number: 313-894-8444
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Mailing Address
Mr. HAROLD ALPHONSO RUDOLPH
1852 W GRAND BLVD
DETROIT, MI 48208-1006
Phone number: 313-894-8444
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