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1346645108
MAYA MORTADA
DETROIT, MI
NPI
1346645108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704277486)
Enumeration Date
2014-10-22
Last Update Date
2014-10-22
Business Address
-- MAYA MORTADA
1 FORD PL 4B
DETROIT, MI 48202-3450
Phone number: 313-404-9960
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Mailing Address
-- MAYA MORTADA
920 N MILDRED ST
DEARBORN, MI 48128-1733
Phone number: 313-404-9960
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