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1861884116
SEAN BOURNE
YPSILANTI, MI
NPI
1861884116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703111465)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- SEAN BOURNE
1852 SAVANNAH LN
YPSILANTI, MI 48198-3676
Phone number: 631-805-4959
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Mailing Address
-- SEAN BOURNE
1852 SAVANNAH LN
YPSILANTI, MI 48198-3676
Phone number: 631-805-4959
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