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1992543862
CANDICE WATTS
DETROIT, MI
NPI
1992543862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703117321)
Enumeration Date
2024-07-16
Last Update Date
2024-07-16
Business Address
CANDICE WATTS
15368 PREVOST ST
DETROIT, MI 48227-1961
Phone number: 248-832-1736
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Mailing Address
CANDICE WATTS
15368 PREVOST ST
DETROIT, MI 48227-1961
Phone number: 248-832-1736
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