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1770803496
CASSANDRA BOGGON
DETROIT, MI
NPI
1770803496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: MI 2701115101)
Enumeration Date
2010-06-03
Last Update Date
2010-06-03
Business Address
-- CASSANDRA BOGGON
16203 WYOMING ST
DETROIT, MI 48221-3417
Phone number: 313-864-2788
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Mailing Address
-- CASSANDRA BOGGON
8457 BRACE ST
DETROIT, MI 48228-3144
Phone number: 734-334-0208
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