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1548937162
TERESA KAS POUTROS
SOUTHFIELD, MI
NPI
1548937162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI AG05210095)
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
TERESA KAS POUTROS AGPCNP-BC
25130 SOUTHFIELD RD STE 120
SOUTHFIELD, MI 48075-1900
Phone number: 248-234-6799
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Mailing Address
TERESA KAS POUTROS AGPCNP-BC
15506 CLAREMONT DR N
CLINTON TOWNSHIP, MI 48038-3576
Phone number: 586-567-5556
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