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1639796089
CARLY ALYSE SHAMOUN
COMMERCE TOWNSHIP, MI
NPI
1639796089
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Former Name
CARLY ALYSE BALDASSARRA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704314978)
Enumeration Date
2020-07-01
Last Update Date
2023-08-09
Business Address
Mrs. CARLY ALYSE SHAMOUN FNP-C
9640 COMMERCE RD STE 104
COMMERCE TOWNSHIP, MI 48382-4167
Phone number: 248-363-1500
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Mailing Address
Mrs. CARLY ALYSE SHAMOUN FNP-C
210 FOUNTAIN PARK DR
WATERFORD, MI 48327-3529
Phone number: 248-410-1256
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