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1699710129
BAHER KAMELISHACC BOCTOR
DETROIT, MI
NPI
1699710129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: MI 4301056652)
Enumeration Date
2006-06-18
Last Update Date
2012-09-20
Business Address
-- BAHER KAMELISHACC BOCTOR M.D.
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-8521
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Mailing Address
-- BAHER KAMELISHACC BOCTOR M.D.
PO BOX 64000 DWR 641546
DETROIT, MI 48264-0001
Phone number:
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