ProviderBusinessMailingAddressFaxNumber = '7342874602'
| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1275862476 | HARKNESS | KAREN | RAE | | 13101 ALLEN RD | SOUTHGATE | MI | 481952216 |
| 1790042745 | LIBRA | DEANNA | LYNN | | 13101 ALLEN RD | SOUTHGATE | MI | 481952216 |
| 1184953382 | SIMMONS | VIRDENA | ELISE | | 13101 ALLEN RD | SOUTHGATE | MI | 481952216 |
| 1164676581 | STJOHN | ASPEN | | | 13101 ALLEN RD # 100 | SOUTHGATE | MI | 481952216 |
| 1952622870 | VASQUEZ | GREGORY | LOPEZ | | 13101 ALLEN RD | SOUTHGATE | MI | 481952216 |
| 1013463439 | YOUNCE-JOHNSON | JUDY | | | 13101 ALLEN RD | SOUTHGATE | MI | 481952216 |
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