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1821833195
ALISA LOUISE EVANS
DETROIT, MI
NPI
1821833195
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Former Name
ALISA L JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703127487)
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
ALISA LOUISE EVANS LPN
16126 SUSSEX ST
DETROIT, MI 48235-3852
Phone number: 734-772-8927
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Mailing Address
ALISA LOUISE EVANS LPN
16126 SUSSEX ST
DETROIT, MI 48235-3852
Phone number: 734-772-8927
Copy
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