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1992158620
CANDACE JEFFERSON
DETROIT, MI
NPI
1992158620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703106526)
Enumeration Date
2016-07-18
Last Update Date
2022-03-07
Business Address
CANDACE JEFFERSON
14046 STAHELIN AVE
DETROIT, MI 48223-2985
Phone number: 313-704-5431
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Mailing Address
CANDACE JEFFERSON
14046 STAHELIN AVE
DETROIT, MI 48223-2985
Phone number: 313-704-5431
Copy
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