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1285250944
KEINAN TAJA
FLINT, MI
NPI
1285250944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351046170)
Enumeration Date
2020-06-18
Last Update Date
2020-06-18
Business Address
Dr. KEINAN TAJA
2 HURLEY PLZ STE 212
FLINT, MI 48503-5905
Phone number: 810-262-9080
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Mailing Address
Dr. KEINAN TAJA
6078 FOUNTAIN POINTE APT 3
GRAND BLANC, MI 48439-7625
Phone number: 567-204-6035
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