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1346365202
MARY HATAM
YPSILANTI, MI
NPI
1346365202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704146733)
Enumeration Date
2007-03-20
Last Update Date
2019-03-08
Business Address
MARY HATAM CRNA
5301 E HURON RIVER DR
YPSILANTI, MI 48197-1051
Phone number: 734-712-9456
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Mailing Address
MARY HATAM CRNA
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440
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