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1801294616
SHANNON GROSS
DETROIT, MI
NPI
1801294616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2014-12-10
Last Update Date
2014-12-10
Business Address
SHANNON GROSS
2900 CONNER ST
DETROIT, MI 48215-2407
Phone number: 313-824-5623
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Mailing Address
SHANNON GROSS
2900 CONNER ST
DETROIT, MI 48215-2407
Phone number: 313-824-5623
Copy
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