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1982110599
DEJUANA LEWIS
CANTON, MI
NPI
1982110599
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704331000)
Enumeration Date
2017-12-19
Last Update Date
2017-12-19
Business Address
DEJUANA LEWIS
4951 S HAGGERTY RD LOT 9
CANTON, MI 48188-2798
Phone number: 734-301-1912
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Mailing Address
DEJUANA LEWIS
4951 S HAGGERTY RD LOT 9
CANTON, MI 48188-2798
Phone number:
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