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1063104834
ALISSA MOSSBARGER
CANTON, MI
NPI
1063104834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 5151016065)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
ALISSA MOSSBARGER DO
1051 N CANTON CENTER RD
CANTON, MI 48187-5097
Phone number: 734-844-5400
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Mailing Address
ALISSA MOSSBARGER DO
1522 SIMPSON RD EAST MPB D3230
ANN ARBOR, MI 48109
Phone number: 734-647-1774
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