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Individual

EBONY STITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3544 MOORE ST, INKSTER, MI 48141-3014
(313) 673-2985
Mailing address
3544 MOORE ST, INKSTER, MI 48141-3014
(313) 673-2985

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
05/24/2016
Last updated
05/24/2016
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  • EDI platform