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1508532151
LATASHA STARR TRIPP
DETROIT, MI
NPI
1508532151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703116020)
Enumeration Date
2021-08-23
Last Update Date
2021-08-24
Business Address
LATASHA STARR TRIPP
15300 FORDHAM ST
DETROIT, MI 48205-2956
Phone number: 313-742-9970
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Mailing Address
LATASHA STARR TRIPP
15300 FORDHAM ST
DETROIT, MI 48205-2956
Phone number: 313-742-9970
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