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Individual

CLEVELAND FAVORS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
20229 YACAMA RD, DETROIT, MI 48203-4906
(313) 544-0654
Mailing address
20229 YACAMA RD, DETROIT, MI 48203-4906
(313) 544-0654

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
MI

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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