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1205461100
TIANA C. ABOUCHEDID
GRANDVILLE, MI
NPI
1205461100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601012384)
Enumeration Date
2020-03-11
Last Update Date
2024-10-07
Business Address
TIANA C. ABOUCHEDID PA
6105 WILSON AVE SW
GRANDVILLE, MI 49418-9714
Phone number: 616-486-5100
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Mailing Address
TIANA C. ABOUCHEDID PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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