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1780417238
JOHNNNY M GAINES
DETROIT, MI
NPI
1780417238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2024-08-21
Last Update Date
2024-08-28
Business Address
JOHNNNY M GAINES
13283 SYRACUSE ST
DETROIT, MI 48212
Phone number: 313-330-2988
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Mailing Address
JOHNNNY M GAINES
13283 SYRACUSE ST
DETROIT, MI 48212-2419
Phone number: 313-330-2988
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