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1841696606
DEYANKA JOHNSON
DETROIT, MI
NPI
1841696606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: MI 00000000000000000000)
Enumeration Date
2014-11-06
Last Update Date
2014-11-06
Business Address
-- DEYANKA JOHNSON
2925 RUSSELL ST
DETROIT, MI 48239-1093
Phone number: 313-396-5300
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Mailing Address
-- DEYANKA JOHNSON
7557 LAMPHERE
DETROIT, MI 48239-1093
Phone number: 313-718-4175
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