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Individual

PEARL BOATWRIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1605 WELLESLEY ST, INKSTER, MI 48141-1576
(180) 043-3806
(313) 466-8035
Mailing address
1605 WELLESLEY ST, INKSTER, MI 48141-1576
(180) 043-3806
(313) 466-8035

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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