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1184271827
NOUR TRAVIS
DETROIT, MI
NPI
1184271827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
333600000X Pharmacy
(Licence: MI 5302047344)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
NOUR TRAVIS
9000 E JEFFERSON AVE
DETROIT, MI 48214-4188
Phone number: 313-269-2444
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Mailing Address
NOUR TRAVIS
PO BOX 1018
DEARBORN, MI 48121-1018
Phone number:
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