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Individual

MARLINA CHARLESTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8053 ROBINDALE AVE, DEARBORN HEIGHTS, MI 48127-1206
(313) 412-6025
Mailing address
8053 ROBINDALE AVE, DEARBORN HEIGHTS, MI 48127-1206
(313) 412-6025

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113201
MI

Other

Enumeration date
06/29/2015
Last updated
06/29/2015
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