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1689225443
ALAA EDDIN TAHBOUB
DETROIT, MI
NPI
1689225443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601009631)
Enumeration Date
2019-09-24
Last Update Date
2019-09-24
Business Address
ALAA EDDIN TAHBOUB PA-C
4771 MICHIGAN AVE
DETROIT, MI 48210-9718
Phone number: 313-897-2600
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Mailing Address
ALAA EDDIN TAHBOUB PA-C
17827 MAISONS DR
CLINTON TWP, MI 48038-3805
Phone number: 810-845-6450
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