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1790235430
DIANE BRATHWAITE
DETROIT, MI
NPI
1790235430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703114334)
Enumeration Date
2016-10-06
Last Update Date
2016-10-06
Business Address
-- DIANE BRATHWAITE
15901 FERGUSON ST
DETROIT, MI 48227-1570
Phone number: 313-682-7622
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Mailing Address
-- DIANE BRATHWAITE
15901 FERGUSON ST
DETROIT, MI 48227-1570
Phone number: 313-682-7622
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