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1831811025
MICHELLE SUSAN STOUTENBURG
DETROIT, MI
NPI
1831811025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703103035)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
MICHELLE SUSAN STOUTENBURG LPN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
MICHELLE SUSAN STOUTENBURG LPN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Copy
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