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1679313902
ELLANYA LOURDE KALLABAT
ROYAL OAK, MI
NPI
1679313902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4351053582)
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
ELLANYA LOURDE KALLABAT
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-5000
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Mailing Address
ELLANYA LOURDE KALLABAT
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number:
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