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1417126848
SHALANDA RENA WARE
DETROIT, MI
NPI
1417126848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2008-02-29
Last Update Date
2008-02-29
Business Address
Mrs. SHALANDA RENA WARE
17170 AVON AVE
DETROIT, MI 48219-4129
Phone number: 313-387-8892
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Mailing Address
Mrs. SHALANDA RENA WARE
17170 AVON AVE
DETROIT, MI 48219-4129
Phone number: 313-387-8892
Copy
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