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1497133102
BALSAM AL BALAGHI
DETROIT, MI
NPI
1497133102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007353)
Enumeration Date
2015-05-13
Last Update Date
2015-11-19
Business Address
Ms. BALSAM AL BALAGHI P.A.
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3300
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Mailing Address
Ms. BALSAM AL BALAGHI P.A.
6071W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-4750
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