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1629541131
IMAN FAYAK ISMAIL
LIVONIA, MI
NPI
1629541131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008934)
Enumeration Date
2019-01-08
Last Update Date
2022-04-14
Business Address
IMAN FAYAK ISMAIL
20280 MIDDLEBELT RD
LIVONIA, MI 48152-2002
Phone number: 248-987-1270
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Mailing Address
IMAN FAYAK ISMAIL
4691 ROLLING RIDGE RD
WEST BLOOMFIELD, MI 48323-3343
Phone number:
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