Provider Information for 1184996407
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Mrs. MELANIE TRENISE SHARP
Sex: Female
NPI: 1184996407
Last Updated: 2012-02-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1184996407 | ||||||||
| Enumeration Date | 2012-02-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 17421 ANNCHESTER RD DETROIT, MI 48219-4212 United States Phone: 313-283-7238 | Fax: | ||||||||
| Primary Practice Address | 17421 ANNCHESTER RD DETROIT, MI 48219-4212 United States Phone: 313-283-7238 | Fax: | ||||||||
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