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1467008086
MASOUMEH KHOSRAVIARDAKANI
DETROIT, MI
NPI
1467008086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704276401)
Enumeration Date
2019-08-11
Last Update Date
2019-08-11
Business Address
MASOUMEH KHOSRAVIARDAKANI NP
4201 SAINT ANTOINE ST STE 8D
DETROIT, MI 48201-2153
Phone number: 313-745-4275
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Mailing Address
MASOUMEH KHOSRAVIARDAKANI NP
732 EAGLE AVE
ANN ARBOR, MI 48103-8887
Phone number: 734-255-0349
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