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1366291809
CHANTAL TIFFANY THERESE MATTAR
DETROIT, MI
NPI
1366291809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704288255)
Enumeration Date
2024-05-16
Last Update Date
2024-10-06
Business Address
CHANTAL TIFFANY THERESE MATTAR NP
12121 BROADSTREET AVE
DETROIT, MI 48204-1550
Phone number: 313-824-1000
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Mailing Address
CHANTAL TIFFANY THERESE MATTAR NP
12121 BROADSTREET AVE
DETROIT, MI 48204-1550
Phone number: 313-824-1000
Copy
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