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1265063937
KATHLEEN IDRISS
DETROIT, MI
NPI
1265063937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302043168)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
KATHLEEN IDRISS
1935 CAMPBELL ST
DETROIT, MI 48209-2133
Phone number: 313-842-3410
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Mailing Address
KATHLEEN IDRISS
1935 CAMPBELL ST
DETROIT, MI 48209-2133
Phone number: 313-842-3410
Copy
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