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1114771912
PARISA BASTANI
ROYAL OAK, MI
NPI
1114771912
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MI 4351052263)
Enumeration Date
2024-04-16
Last Update Date
2024-04-24
Business Address
PARISA BASTANI
3535 W 13 MILE RD STE 140
ROYAL OAK, MI 48073-6770
Phone number: 248-551-3000
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Mailing Address
PARISA BASTANI
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number:
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