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1073248704
IBTISSAM AHMED BALAA
DEARBORN, MI
NPI
1073248704
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2022-07-18
Last Update Date
2022-07-26
Business Address
IBTISSAM AHMED BALAA
19853 OUTER DR STE 110
DEARBORN, MI 48124-2044
Phone number: 313-406-5056
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Mailing Address
IBTISSAM AHMED BALAA
19853 OUTER DR STE 110
DEARBORN, MI 48124-2044
Phone number: 313-406-5056
Copy
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