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1477907111
ALPHRETTA ELLIS
DETROIT, MI
NPI
1477907111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703109056)
Enumeration Date
2016-04-19
Last Update Date
2016-04-19
Business Address
-- ALPHRETTA ELLIS
13586 INDIANA ST
DETROIT, MI 48238-2308
Phone number: 313-768-7334
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Mailing Address
-- ALPHRETTA ELLIS
13586 INDIANA ST
DETROIT, MI 48238-2308
Phone number: 313-768-7334
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