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1528792777
TRAVELL DENEISE JOHNSON-PETTWAY
DETROIT, MI
NPI
1528792777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: MI 4704202831)
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
TRAVELL DENEISE JOHNSON-PETTWAY RN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
TRAVELL DENEISE JOHNSON-PETTWAY RN
18504 DOLORES AVE
LATHRUP VILLAGE, MI 48076-2682
Phone number: 313-820-3449
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