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1477879492
KONAN EUGENE KOUASSI
SOUTHFIELD, MI
NPI
1477879492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005325)
Enumeration Date
2010-04-15
Last Update Date
2023-03-01
Business Address
KONAN EUGENE KOUASSI PHYSICIAN ASSISTANT
23077 GREENFIELD RD STE 485
SOUTHFIELD, MI 48075
Phone number: 248-552-9050
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Mailing Address
KONAN EUGENE KOUASSI PHYSICIAN ASSISTANT
3231 CHRISTOPHER LN APT 318
KEEGO HARBOR, MI 48320-1352
Phone number: 313-283-8258
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