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1457801003
TANISHA EASON
NORTHVILLE, MI
NPI
1457801003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Additional Taxonomies
251E00000X Home Health
Enumeration Date
2016-10-06
Last Update Date
2022-12-11
Business Address
TANISHA EASON
17343 HIDDEN LAKE WAY
NORTHVILLE, MI 48168-2293
Phone number: 248-595-2300
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Mailing Address
TANISHA EASON
11654 VIRGIL
REDFORD, MI 48239-1447
Phone number: 313-773-4397
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