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1184316887
CARISSA HAIDAMOUS
WARREN, MI
NPI
1184316887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704340971)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
CARISSA HAIDAMOUS FNP-C
31200 DEQUINDRE RD
WARREN, MI 48092-1344
Phone number: 586-939-1800
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Mailing Address
CARISSA HAIDAMOUS FNP-C
776 AMBERLY DR UNIT C
WATERFORD, MI 48328-4933
Phone number:
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