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1457898793
LAQUITA JO SMITH
DETROIT, MI
NPI
1457898793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703056770)
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
-- LAQUITA JO SMITH Lpn
5864 HOLCOMB ST
DETROIT, MI 48213-3091
Phone number: 313-758-8122
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Mailing Address
-- LAQUITA JO SMITH Lpn
5864 HOLCOMB ST
DETROIT, MI 48213-3091
Phone number: 313-758-8122
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