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1578732418
JEANETTE HOLLIS-LAKE
DETROIT, MI
NPI
1578732418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6301013054)
Enumeration Date
2008-02-25
Last Update Date
2008-02-25
Business Address
-- JEANETTE HOLLIS-LAKE
2051 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-961-3739
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Mailing Address
-- JEANETTE HOLLIS-LAKE
2051 W GRAND BLVD
DETROIT, MI 48208-1105
Phone number: 313-961-3739
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