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1447766076
SHA-JUANA MCCULLOUGH
SAINT CLAIR SHORES, MI
NPI
1447766076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703118069)
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
SHA-JUANA MCCULLOUGH
20011 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080-1692
Phone number: 313-442-3973
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Mailing Address
SHA-JUANA MCCULLOUGH
20011 E 8 MILE RD
SAINT CLAIR SHORES, MI 48080-1692
Phone number:
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