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Individual

SIRITA LASHAWN CANTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1596 RULANE DR, LAPEER, MI 48446-1364
(313) 737-1500
Mailing address
1596 RULANE DR, LAPEER, MI 48446-1364
(313) 737-1500

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
4703108891
MI

Other

Enumeration date
11/06/2018
Last updated
11/06/2018
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