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1992415863
LAWRENCE JACOB MARK
DETROIT, MI
NPI
1992415863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
LAWRENCE JACOB MARK
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
LAWRENCE JACOB MARK
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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