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Individual

REVA KLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
882 OAKMAN BLVD, SUITE D, DETROIT, MI 48238-3710
(313) 961-7990
Mailing address
1074 ABBEY ST, BIRMINGHAM, MI 48009-5677
(248) 217-8356

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704119149
MI

Other

Enumeration date
02/03/2014
Last updated
02/06/2014
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