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1124730874
ISRA IDRIS
DETROIT, MI
NPI
1124730874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-12-14
Last Update Date
2023-07-19
Business Address
ISRA IDRIS
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 571-484-2860
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Mailing Address
ISRA IDRIS
3800 WOODWARD AVE APT 306
DETROIT, MI 48201-1978
Phone number: 571-484-2860
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