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1912495029
TANISHA BYNUM
DETROIT, MI
NPI
1912495029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 470311116)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
TANISHA BYNUM
23838 FRISBEE ST APT 4
DETROIT, MI 48219-4618
Phone number: 313-574-6192
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Mailing Address
TANISHA BYNUM
23838 FRISBEE ST APT 4
DETROIT, MI 48219-4618
Phone number: 313-574-6192
Copy
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