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1114231313
FARAH TABASSUM
DETROIT, MI
NPI
1114231313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0213X Pathology, Pediatric Pathology
(Licence: MI 4301089593)
Enumeration Date
2010-07-29
Last Update Date
2010-07-29
Business Address
-- FARAH TABASSUM MD
4201 SAINT ANTOINE ST 9C UHC
DETROIT, MI 48201-2153
Phone number: 313-745-5147
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Mailing Address
-- FARAH TABASSUM MD
4201 SAINT ANTOINE ST 9C UHC
DETROIT, MI 48201-2153
Phone number:
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