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1568161925
FE-LUZ DEGALA
DETROIT, MI
NPI
1568161925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703108819)
Enumeration Date
2023-02-24
Last Update Date
2023-02-24
Business Address
FE-LUZ DEGALA
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
FE-LUZ DEGALA
613 E PIKE ST
PONTIAC, MI 48342-2974
Phone number: 313-576-1000
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