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Individual

DEJUANA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4951 S HAGGERTY RD LOT 9, CANTON, MI 48188-2798
(734) 301-1912
Mailing address
4951 S HAGGERTY RD LOT 9, CANTON, MI 48188-2798

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704331000
MI

Other

Enumeration date
12/19/2017
Last updated
12/19/2017
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