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Individual

MRS. LARHONDA NICOLE TRIBBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OWNER

Contact information

Practice address
15810 LAKESIDE VILLAGE DR, APT. 205, CLINTON TOWNSHIP, MI 48038-6118
(586) 876-2298
(586) 421-4637
Mailing address
15810 LAKESIDE VILLAGE DR, APT. 205, CLINTON TOWNSHIP, MI 48038-6118
(586) 876-2298
(586) 421-4637

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
T614488630898
MI

Other

Enumeration date
03/26/2008
Last updated
03/26/2008
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