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1174878961
GRACE MOUSAN
DETROIT, MI
NPI
1174878961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301101389)
Enumeration Date
2012-07-17
Last Update Date
2012-07-17
Business Address
-- GRACE MOUSAN M.D.
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-1892
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Mailing Address
-- GRACE MOUSAN M.D.
4311 CHRYSLER DR
DETROIT, MI 48201-2151
Phone number: 248-495-4905
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