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1740744044
SHALONA STACY
FLUSHING, MI
NPI
1740744044
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703112041)
Enumeration Date
2019-01-31
Last Update Date
2019-01-31
Business Address
SHALONA STACY
2521 N ELMS RD
FLUSHING, MI 48433-9423
Phone number: 810-487-5521
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Mailing Address
SHALONA STACY
2521 N ELMS RD
FLUSHING, MI 48433-9423
Phone number: 810-487-5521
Copy
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