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1417576232
BRENT TATOMIR
LIVONIA, MI
NPI
1417576232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5151014255)
Enumeration Date
2020-04-11
Last Update Date
2023-11-09
Business Address
BRENT TATOMIR
32401 8 MILE RD
LIVONIA, MI 48152-1301
Phone number: 913-359-6001
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Mailing Address
BRENT TATOMIR
6601 COLLEGE BLVD STE 120
OVERLAND PARK, KS 66211-1504
Phone number: 913-359-6001
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