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1487910030
ALLEDA E MACK
TROY, MI
NPI
1487910030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301108787)
Enumeration Date
2012-04-09
Last Update Date
2017-09-29
Business Address
-- ALLEDA E MACK
4967 CROOKS RD
TROY, MI 48098-5801
Phone number: 734-464-0887
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Mailing Address
-- ALLEDA E MACK
130 TOWN CENTER DR STE 203
TROY, MI 48084-1744
Phone number: 248-585-8221
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