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1871091264
SHANTANIQUE CRUMBY
WAYNE, MI
NPI
1871091264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6802089266)
Enumeration Date
2018-01-31
Last Update Date
2019-10-08
Business Address
SHANTANIQUE CRUMBY
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 313-310-2101
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Mailing Address
SHANTANIQUE CRUMBY
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 734-467-7600
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