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1518419019
GRACE HALSTEAD
BERKLEY, MI
NPI
1518419019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703110952)
Enumeration Date
2016-10-31
Last Update Date
2016-10-31
Business Address
Ms. GRACE HALSTEAD lpn
2766 W 11 MILE RD
BERKLEY, MI 48072-3033
Phone number: 248-542-5621
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Mailing Address
Ms. GRACE HALSTEAD lpn
15226 S TELEGRAPH RD
MONROE, MI 48161-4064
Phone number: 734-652-5634
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