Individual
MISS KIMBERLY PATRICE DEBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 W GRAND BLVD, DETROIT, MI 48208-2336
(313) 324-8900
Mailing address
26639 MONTICELLO ST, INKSTER, MI 48141-1258
(616) 719-7931
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
04/19/2024
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