KAVON BLACK

DETROIT, MI
NPI1376905471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703108639)
Enumeration Date2016-03-28
Last Update Date2016-03-28
Business Address
-- KAVON BLACK
19151 WOODINGHAM DR
DETROIT, MI 48221-1650
Phone number: 313-308-7111
Mailing Address
-- KAVON BLACK
19151 WOODINGHAM DR
DETROIT, MI 48221-1650
Phone number: 313-308-7111
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