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1285958736
IMELDA E DE VERA
ROYAL OAK, MI
NPI
1285958736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 5101018657)
Enumeration Date
2010-03-25
Last Update Date
2015-07-30
Business Address
-- IMELDA E DE VERA D.O.
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
-- IMELDA E DE VERA D.O.
1719 W BIG BEAVER RD
TROY, MI 48084-3510
Phone number: 248-458-0400
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