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1790046191
MARK MARLIN BAHOURA
SOUTHFIELD, MI
NPI
1790046191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 4301111749)
Enumeration Date
2012-06-01
Last Update Date
2018-06-29
Business Address
MARK MARLIN BAHOURA M.D.
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Phone number: 248-849-8519
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Mailing Address
MARK MARLIN BAHOURA M.D.
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone number: 248-849-8519
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