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1992183388
SOPHIA LORRAINE ANDERSON
SAINT CLAIR SHORES, MI
NPI
1992183388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
(Licence: MI A536772546878)
Enumeration Date
2015-05-18
Last Update Date
2015-05-18
Business Address
Mrs. SOPHIA LORRAINE ANDERSON
22828 GAUKLER ST 22828 GAUKLER STREET
SAINT CLAIR SHORES, MI 48080-2543
Phone number: 586-944-0020
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Mailing Address
Mrs. SOPHIA LORRAINE ANDERSON
22828 GAUKLER ST
SAINT CLAIR SHORES, MI 48080-2543
Phone number: 586-944-0020
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