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Individual

DEANGELA THURMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
28545 THORNAPPLE DR APT 305, SOUTHFIELD, MI 48034-5449
(248) 802-4123
Mailing address
28545 THORNAPPLE DR APT 305, SOUTHFIELD, MI 48034-5449
(248) 802-4123

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703104425
MI

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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