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1750749123
SHANA TATE
DETROIT, MI
NPI
1750749123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703110714)
Enumeration Date
2016-02-01
Last Update Date
2016-02-01
Business Address
-- SHANA TATE
13561 WOODMONT AVE
DETROIT, MI 48227-1333
Phone number: 313-354-3727
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Mailing Address
-- SHANA TATE
13561 WOODMONT AVE
DETROIT, MI 48227-1333
Phone number: 313-354-3727
Copy
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