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1508059072
BAHAE MOHAMMED EBRAHEM
SOUTHGATE, MI
NPI
1508059072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301089436)
Enumeration Date
2007-08-19
Last Update Date
2013-04-09
Business Address
-- BAHAE MOHAMMED EBRAHEM
12815 NORTHLINE RD
SOUTHGATE, MI 48195-1109
Phone number: 734-284-2090
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Mailing Address
-- BAHAE MOHAMMED EBRAHEM
12815 NORTHLINE RD
SOUTHGATE, MI 48195-1109
Phone number: 734-284-2090
Copy
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