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Individual

MS. JEWEL TOYIA SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
23023 ORCHARD LAKE RD, SUITE C, FARMINGTON, MI 48336-3209
(248) 987-2934
Mailing address
9192 E WALDEN DR, BELLEVILLE, MI 48111-3360
(313) 721-3787

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
8004660006
MI

Other

Enumeration date
11/30/2009
Last updated
11/30/2009
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