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1750732400
THERESA COLVIN
OAK PARK, MI
NPI
1750732400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703113465)
Enumeration Date
2016-06-23
Last Update Date
2016-06-23
Business Address
-- THERESA COLVIN LPN
2766 W 11 MILE RD
OAK PARK, MI 48273
Phone number: 800-352-5340
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Mailing Address
-- THERESA COLVIN LPN
1448 E HARRY AVE
HAZEL PARK, MI 48030-2110
Phone number: 248-727-3530
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