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1396145322
LAKE MARKEL
DETROIT, MI
NPI
1396145322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703102654)
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
Mr. LAKE MARKEL LPN
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number: 313-867-8015
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Mailing Address
Mr. LAKE MARKEL LPN
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number: 313-867-8015
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