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1417324575
GILBERT JOHNSON
DETROIT, MI
NPI
1417324575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2015-08-25
Last Update Date
2015-08-25
Business Address
-- GILBERT JOHNSON
15800 FAIRMOUNT DR
DETROIT, MI 48205-1448
Phone number: 313-850-5205
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Mailing Address
-- GILBERT JOHNSON
15800 FAIRMOUNT DR
DETROIT, MI 48205-1448
Phone number: 313-850-5205
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