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1366102378
MARIAM BASSALIOUS
HAMTRAMCK, MI
NPI
1366102378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704344060)
Enumeration Date
2021-12-19
Last Update Date
2022-01-07
Business Address
Dr. MARIAM BASSALIOUS DNP, FNP-BC
9021 JOSEPH CAMPAU ST
HAMTRAMCK, MI 48212-3726
Phone number: 313-871-1927
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Mailing Address
Dr. MARIAM BASSALIOUS DNP, FNP-BC
36650 KENNETH CT
STERLING HEIGHTS, MI 48312-3156
Phone number: 248-635-2919
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