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1003638636
MOHAMED IBRAHIM BAZZI
DETROIT, MI
NPI
1003638636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201013874)
Enumeration Date
2024-10-25
Last Update Date
2024-10-25
Business Address
Mr. MOHAMED IBRAHIM BAZZI
3990 JOHN R ST
DETROIT, MI 48201
Phone number: 810-333-1822
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Mailing Address
Mr. MOHAMED IBRAHIM BAZZI
21740 HOMER ST
DEARBORN, MI 48127-2927
Phone number: 810-333-1822
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