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1548016975
LATANYA GAYNELL MOSES
DETROIT, MI
NPI
1548016975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703123838)
Enumeration Date
2024-04-26
Last Update Date
2024-04-26
Business Address
LATANYA GAYNELL MOSES LPN
12690 W OUTER DR
DETROIT, MI 48223-3204
Phone number: 313-244-7101
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Mailing Address
LATANYA GAYNELL MOSES LPN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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