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1871022533
MALIKAN LATRICE JOHNSON
DEARBORN, MI
NPI
1871022533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-06-07
Last Update Date
2017-06-07
Business Address
MALIKAN LATRICE JOHNSON
23400 MICHIGAN AVE
DEARBORN, MI 48124
Phone number: 313-689-5188
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Mailing Address
MALIKAN LATRICE JOHNSON
23400 MICHIGAN AVE
DEARBORN, MI 48124-1924
Phone number:
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