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1992511166
DWAYNE SCOTT
DETROIT, MI
NPI
1992511166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-12-03
Last Update Date
2024-12-03
Business Address
DWAYNE SCOTT
133 E GRAND BLVD APT 208
DETROIT, MI 48207-3777
Phone number: 586-339-2178
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Mailing Address
DWAYNE SCOTT
27378 PARKVIEW BLVD APT 4314
WARREN, MI 48092-3501
Phone number: 586-339-2178
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