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Organization

DEPARTMENT OF VETERAN AFFAIRS

Active
Other names
United States Government
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TAKIYAH MCPHERSON RN (CLINICAL NURSE MANGER)
(313) 576-1000
Entity
Organization

Contact information

Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary

Other

Enumeration date
09/20/2022
Last updated
09/26/2022
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