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1386114742
MAVIS GAIL POOKRUM
SOUTHFIELD, MI
NPI
1386114742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2018-11-28
Last Update Date
2018-11-28
Business Address
Ms. MAVIS GAIL POOKRUM
21732 COLONY PARK CIRCLE #105
SOUTHFIELD, MI 48076
Phone number: 313-283-7838
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Mailing Address
Ms. MAVIS GAIL POOKRUM
21732 COLONY PARK CIRCLE #105
SOUTHFIELD, MI 48076
Phone number: 313-283-7838
Copy
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