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1780174631
AVAZEH AMIRSADRI
DETROIT, MI
NPI
1780174631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704297524)
Enumeration Date
2018-05-16
Last Update Date
2018-05-16
Business Address
AVAZEH AMIRSADRI
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-993-2966
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Mailing Address
AVAZEH AMIRSADRI
38365 WINDSOR
FARMINGTON HILLS, MI 48331-2851
Phone number: 248-910-2958
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