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Contractor

NPI: 1134258577Organization

Specialties, Licenses & Credentials

ContractorPrimary

Contractor

Code: 171W00000X

S516765135111(MI)

Contact & Hours

Address
15146 GRAYFIELD ST
DETROIT, MI 48223

Quick Facts

NPI
1134258577
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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