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1407233794
ANJULITA SHABAZZ
DETROIT, MI
NPI
1407233794
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703112792)
Enumeration Date
2015-05-06
Last Update Date
2015-05-06
Business Address
-- ANJULITA SHABAZZ
17160 KENTUCKY ST
DETROIT, MI 48221-2447
Phone number: 313-212-5439
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Mailing Address
-- ANJULITA SHABAZZ
17160 KENTUCKY ST
DETROIT, MI 48221-2447
Phone number: 313-212-5439
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