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1508377003
MAYA ALICIA JOHNSON
LIVONIA, MI
NPI
1508377003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703114356)
Enumeration Date
2017-10-24
Last Update Date
2017-10-24
Business Address
MAYA ALICIA JOHNSON LPN
37450 SCHOOLCRAFT RD
LIVONIA, MI 48150-1082
Phone number: 734-458-4601
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Mailing Address
MAYA ALICIA JOHNSON LPN
24671 PEMBROOKE DR
SOUTHFIELD, MI 48033-3159
Phone number:
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