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1619564531
JOHNETTA MATHIS
EASTPOINTE, MI
NPI
1619564531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703121100)
Enumeration Date
2020-12-26
Last Update Date
2020-12-26
Business Address
JOHNETTA MATHIS LPN
16743 LINCOLN AVE
EASTPOINTE, MI 48021-3029
Phone number: 313-477-7366
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Mailing Address
JOHNETTA MATHIS LPN
16743 LINCOLN AVE
EASTPOINTE, MI 48021-3029
Phone number: 313-477-7366
Copy
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