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Individual

MRS. ELLEN GERMAINE GRAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N

Contact information

Practice address
4965 N STONEY CREEK RD, MONROE, MI 48162-9332
(734) 384-8713
Mailing address
4965 N STONEY CREEK RD, MONROE, MI 48162-9332
(734) 384-8713

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704112024
MI

Other

Enumeration date
11/09/2011
Last updated
11/09/2011
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