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1215974753
JIRA G COUMARBATCH
SOUTHFIELD, MI
NPI
1215974753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301077874)
Enumeration Date
2006-06-01
Last Update Date
2022-07-21
Business Address
JIRA G COUMARBATCH MD
23077 GREENFIELD RD STE 489
SOUTHFIELD, MI 48075-3740
Phone number: 248-395-6312
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Mailing Address
JIRA G COUMARBATCH MD
PO BOX 47068
OAK PARK, MI 48237-4768
Phone number: 248-443-6911
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