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Individual

MR. CLIFFORD AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
17544 MUIRLAND ST, DETROIT, MI 48221-2711
(313) 864-1772
Mailing address
17544 MUIRLAND ST, DETROIT, MI 48221-2711
(313) 864-1772

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704151939
MI

Other

Enumeration date
07/12/2010
Last updated
07/12/2010
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