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1396410353
IRICE ELLIS-CRENSHAW
SOUTHFIELD, MI
NPI
1396410353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902019162)
Enumeration Date
2021-08-12
Last Update Date
2021-08-12
Business Address
Miss IRICE ELLIS-CRENSHAW RDH
17344 W 12 MILE RD STE 201
SOUTHFIELD, MI 48076-6321
Phone number: 586-277-8491
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Mailing Address
Miss IRICE ELLIS-CRENSHAW RDH
17344 W 12 MILE RD STE 201
SOUTHFIELD, MI 48076-6321
Phone number: 586-277-8491
Copy
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