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1871284877
CAROLYN STOVALL
DETROIT, MI
NPI
1871284877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: MI 4704222968)
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
CAROLYN STOVALL
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
CAROLYN STOVALL
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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