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1215686662
MAZYAR KAVOUSI
DETROIT, MI
NPI
1215686662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
MAZYAR KAVOUSI
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-1601
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Mailing Address
MAZYAR KAVOUSI
1321 ORLEANS ST APT 1815W
DETROIT, MI 48207-3194
Phone number: 818-317-4928
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