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1790025658
LULADAY W TEBEJE
DETROIT, MI
NPI
1790025658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704258722)
Enumeration Date
2013-02-28
Last Update Date
2013-02-28
Business Address
-- LULADAY W TEBEJE ACNP
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-7235
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Mailing Address
-- LULADAY W TEBEJE ACNP
19144 RED OAK LN
BROWNSTOWN, MI 48193-8802
Phone number: 248-508-8047
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