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Individual

LAURENCE STEPHEN REUBEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
26070 RADCLIFT PL, OAK PARK, MI 48237-1047
(248) 417-2240
Mailing address
26070 RADCLIFT PL, OAK PARK, MI 48237-1047
(248) 417-2240

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704315893
MI

Other

Enumeration date
06/28/2020
Last updated
06/28/2020
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