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1780192559
FLORENCE BASCOM
BELLEVILLE, MI
NPI
1780192559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703058272)
Enumeration Date
2018-01-16
Last Update Date
2018-01-16
Business Address
FLORENCE BASCOM
142 MENLO PARK DR
BELLEVILLE, MI 48111-4910
Phone number: 734-391-7137
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Mailing Address
FLORENCE BASCOM
142 MENLO PARK DR
BELLEVILLE, MI 48111-4910
Phone number:
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