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1164743779
LISA MOHAN
OKEMOS, MI
NPI
1164743779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901020353)
Enumeration Date
2010-06-17
Last Update Date
2012-06-18
Business Address
Dr. LISA MOHAN DDS,MPH
2040 BELWOOD DR
OKEMOS, MI 48864-5951
Phone number: 612-735-6347
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Mailing Address
Dr. LISA MOHAN DDS,MPH
2040 BELWOOD DR
OKEMOS, MI 48864-5951
Phone number: 612-735-6347
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