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1083064000
LAITH J JACOB
LIVONIA, MI
NPI
1083064000
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Former Name
LAITH JACOB CEBE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301109743)
Enumeration Date
2016-06-21
Last Update Date
2023-05-22
Business Address
LAITH J JACOB MD, MbChB
15645 FARMINGTON RD
LIVONIA, MI 48154-2851
Phone number: 248-245-6533
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Mailing Address
LAITH J JACOB MD, MbChB
15645 FARMINGTON RD
LIVONIA, MI 48154-2851
Phone number: 248-245-6533
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