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1770821795
ST JOHN PROVIDENCE HEALTH SYSTEMS
DETROIT, MI
NPI
1770821795
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Entity Type
Organization
Authorized Contact
CYNTHIA ELIZABETH WILLIAMS
Therapist
313-368-4267
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2013-01-25
Last Update Date
2013-01-25
Business Address
ST JOHN PROVIDENCE HEALTH SYSTEMS
1150 LANTZ ST
DETROIT, MI 48203
Phone number: 313-368-4267
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Mailing Address
ST JOHN PROVIDENCE HEALTH SYSTEMS
1150 E LANTZ ST
DETROIT, MI 48203-1376
Phone number: 313-368-4267
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