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1588931059
LISA YACOUB
WARREN, MI
NPI
1588931059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704240796)
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
Mrs. LISA YACOUB N.P-C
26000 HOOVER RD SUITE 103
WARREN, MI 48089-1167
Phone number: 586-427-1351
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Mailing Address
Mrs. LISA YACOUB N.P-C
38377 MOUNT KISCO DR
STERLING HEIGHTS, MI 48310-3426
Phone number:
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