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1821482092
LAKETTA GRAHAM
DETROIT, MI
NPI
1821482092
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703114735)
Enumeration Date
2015-03-25
Last Update Date
2015-03-25
Business Address
-- LAKETTA GRAHAM
2294 CHICAGO BLVD
DETROIT, MI 48206-1739
Phone number: 313-974-8462
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Mailing Address
-- LAKETTA GRAHAM
2294 CHICAGO BLVD
DETROIT, MI 48206-1739
Phone number: 313-974-8462
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