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1386100832
ALI ELIAS DIA
DETROIT, MI
NPI
1386100832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704291293)
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
ALI ELIAS DIA FNP-BC
3456 W VERNOR HWY
DETROIT, MI 48216-1551
Phone number: 313-254-9693
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Mailing Address
ALI ELIAS DIA FNP-BC
23150 WILSON AVE
DEARBORN, MI 48128-1853
Phone number: 313-614-6115
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