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1366284960
GLENN AMIN STEVENS
DETROIT, MI
NPI
1366284960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2024-06-12
Last Update Date
2024-06-13
Business Address
GLENN AMIN STEVENS
9684 RUSSELL ST
DETROIT, MI 48211-1048
Phone number: 313-459-4146
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Mailing Address
GLENN AMIN STEVENS
4039 KENDALL ST # 2
DETROIT, MI 48238-2654
Phone number: 313-399-1816
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