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1811493000
CAROLE ANN TENNIS
WATERFORD, MI
NPI
1811493000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704098952)
Enumeration Date
2018-04-05
Last Update Date
2018-04-05
Business Address
CAROLE ANN TENNIS
1016 PELHAM BLVD
WATERFORD, MI 48328-4253
Phone number: 124-868-1025
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Mailing Address
CAROLE ANN TENNIS
1016 PELHAM BLVD # 1
WATERFORD, MI 48328-4253
Phone number: 248-681-0250
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