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1144096017
MAHNOOR IBADAT
ROYAL OAK, MI
NPI
1144096017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704344126)
Enumeration Date
2023-11-30
Last Update Date
2024-05-28
Business Address
MAHNOOR IBADAT ACNPC-AG
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-4021
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Mailing Address
MAHNOOR IBADAT ACNPC-AG
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number: 947-522-1848
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