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1417401704
SHANNA ROBERTS
DETROIT, MI
NPI
1417401704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703111951)
Enumeration Date
2016-08-04
Last Update Date
2016-08-04
Business Address
SHANNA ROBERTS
9366 MANSFIELD ST
DETROIT, MI 48228-2197
Phone number: 313-879-8546
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Mailing Address
SHANNA ROBERTS
9366 MANSFIELD ST
DETROIT, MI 48228-2197
Phone number: 313-879-8546
Copy
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