KWAME LARRY

SOUTHFIELD, MI
NPI1457805269
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703116004)
Enumeration Date2016-08-09
Last Update Date2016-08-09
Business Address
-- KWAME LARRY
25624 W 12 MILE RD
SOUTHFIELD, MI 48034-8048
Phone number: 313-914-8696
Mailing Address
-- KWAME LARRY
25624 W 12 MILE RD
SOUTHFIELD, MI 48034-8048
Phone number: 313-914-8696
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