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1477956779
MONIQUE POWELL
DETROIT, MI
NPI
1477956779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI m1000005782)
Enumeration Date
2014-09-30
Last Update Date
2014-09-30
Business Address
-- MONIQUE POWELL
5801 LAKEVIEW S.T
DETROIT, MI 48213
Phone number: 313-648-3338
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Mailing Address
-- MONIQUE POWELL
5801 LAKEVIEW S.T
DETROIT, MI 48213
Phone number: 313-648-3338
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