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1174688600
GEOFFREY THANE D'ALLEMAND
DEARBORN, MI
NPI
1174688600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: MI 5601001396)
Enumeration Date
2006-12-26
Last Update Date
2007-07-08
Business Address
MR. GEOFFREY THANE D'ALLEMAND PA-C
19401 HUBBARD DR SUITE 104
DEARBORN, MI 48126-2641
Phone number: 313-982-8151
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Mailing Address
MR. GEOFFREY THANE D'ALLEMAND PA-C
126 AUSTIN AVE
ROYAL OAK, MI 48067-1706
Phone number: 248-399-0973
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