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Organization
GENTLE LOVE VISITING PHYSICIANS GROUP LLC
Active
Organization
GENTLE LOVE VISITING PHYSICIANS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANISHA CHRISTINA BURTON (OWNER)
(313) 962-5580
Entity
Organization
Contact information
Practice address
2051 ROSA PARKS BLVD, STE 1 B, DETROIT, MI 48216-1556
(313) 962-5580
(313) 962-5588
Mailing address
2051 ROSA PARKS BLVD, STE 1 B, DETROIT, MI 48216-1556
(313) 962-5580
(313) 962-5588
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
08/13/2007
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