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1518300334
HOLLIE LYNN LIETZ
LIVONIA, MI
NPI
1518300334
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 5502003547)
Enumeration Date
2013-04-11
Last Update Date
2013-04-11
Business Address
-- HOLLIE LYNN LIETZ PTA
38777 6 MILE RD
LIVONIA, MI 48152-2694
Phone number: 734-452-0395
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Mailing Address
-- HOLLIE LYNN LIETZ PTA
30995 LAKEVIEW BLVD APT 7105
WIXOM, MI 48393-2858
Phone number:
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