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1972330652
AYANNA MATHIS
CANTON, MI
NPI
1972330652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703130134)
Enumeration Date
2024-09-17
Last Update Date
2024-09-17
Business Address
AYANNA MATHIS
40633 TAMARACK DR APT 201
CANTON, MI 48188-2839
Phone number: 734-489-3190
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Mailing Address
AYANNA MATHIS
40633 TAMARACK DR APT 201
CANTON, MI 48188-2839
Phone number:
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