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1396281234
THERA T RADNEY
DETROIT, MI
NPI
1396281234
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Former Name
THERA TERRES SIMMONS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704282153)
Enumeration Date
2017-01-17
Last Update Date
2021-03-25
Business Address
THERA T RADNEY NP-C
20720 PLYMOUTH RD
DETROIT, MI 48228-1275
Phone number: 313-493-4330
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Mailing Address
THERA T RADNEY NP-C
28212 FRANKLIN RD
SOUTHFIELD, MI 48034-1659
Phone number: 248-356-5555
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