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1639301898
JOHN CHARLES STABB
DETROIT, MI
NPI
1639301898
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601001209)
Enumeration Date
2009-08-20
Last Update Date
2009-08-20
Business Address
-- JOHN CHARLES STABB PAC
4771 MICHIGAN AVE
DETROIT, MI 48210-3247
Phone number: 313-897-2600
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Mailing Address
-- JOHN CHARLES STABB PAC
4771 MICHIGAN AVE
DETROIT, MI 48210-3247
Phone number: 313-897-2600
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