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1316211725
JOSEPH MIRABITUR
DETROIT, MI
NPI
1316211725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704216623)
Enumeration Date
2012-03-02
Last Update Date
2012-03-02
Business Address
-- JOSEPH MIRABITUR ACNP-BC
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-4436
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Mailing Address
-- JOSEPH MIRABITUR ACNP-BC
14637 GARY LN
LIVONIA, MI 48154-5150
Phone number:
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