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1508482514
MADELYN ROSE AITTAMA
DETROIT, MI
NPI
1508482514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4351049162)
Enumeration Date
2020-06-25
Last Update Date
2022-06-09
Business Address
MADELYN ROSE AITTAMA
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3400
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Mailing Address
MADELYN ROSE AITTAMA
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-3400
Copy
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