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1508557968
KELLY JEANE HAIDAR
CANTON, MI
NPI
1508557968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 5151016046)
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
Dr. KELLY JEANE HAIDAR DO
1051 N CANTON CENTER RD
CANTON, MI 48187-5097
Phone number: 734-539-5080
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Mailing Address
Dr. KELLY JEANE HAIDAR DO
1522 SIMPSON DR MPB D3230
ANN ARBOR, MI 48109
Phone number: 734-647-1774
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