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1952021552
MICHAEL JEROME MCGAUGHY
DETROIT, MI
NPI
1952021552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2022-09-01
Last Update Date
2022-09-01
Business Address
MICHAEL JEROME MCGAUGHY caregiver
17206 GLASTONBURY RD
DETROIT, MI 48219-4130
Phone number: 313-333-9715
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Mailing Address
MICHAEL JEROME MCGAUGHY caregiver
17206 GLASTONBURY RD
DETROIT, MI 48219-4130
Phone number: 313-333-9715
Copy
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