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MS. ROYETTA LAVERNE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
CIRCLE OF LIFE PSY HOSPITAL, 1500 GRATIOT, DETROIT, MI 48207
(313) 245-0600
Mailing address
50072 S ANGELO CT, CHESTERFIELD, MI 48047
(586) 948-3782

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704106196
MI

Other

Enumeration date
02/21/2007
Last updated
07/08/2007
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