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Individual

AUDREY ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11724 GREENFIELD RD, DETROIT, MI 48227-4310
(313) 424-0064
Mailing address
1632 BELVIDERE ST, DETROIT, MI 48214-3092
(313) 821-8847

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
NONE

Other

Enumeration date
09/05/2015
Last updated
09/05/2015
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