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1942077060
MIA HARRIS-HENDERSON
DETROIT, MI
NPI
1942077060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703125159)
Enumeration Date
2023-12-08
Last Update Date
2023-12-08
Business Address
MIA HARRIS-HENDERSON
4646 JOHN R STREET
DETROIT, MI 48201
Phone number: 313-576-1000
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Mailing Address
MIA HARRIS-HENDERSON
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number:
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