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1053502468
EBRAM M FANOUS
STERLING HEIGHTS, MI
NPI
1053502468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011728)
Enumeration Date
2007-08-09
Last Update Date
2024-11-05
Business Address
EBRAM M FANOUS PT
36430 VAN DYKE AVE
STERLING HEIGHTS, MI 48312-2746
Phone number: 586-335-8182
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Mailing Address
EBRAM M FANOUS PT
3381 HIDDEN OAKS LN
WEST BLOOMFIELD, MI 48324-3256
Phone number: 586-335-8182
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