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1790168557
SUMAIYA ISLAM
DETROIT, MI
NPI
1790168557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301108155)
Enumeration Date
2015-06-29
Last Update Date
2015-06-29
Business Address
-- SUMAIYA ISLAM
3370 E JEFFERSON AVE
DETROIT, MI 48207-4236
Phone number: 313-656-1600
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Mailing Address
-- SUMAIYA ISLAM
1350 W BETHUNE ST 1205
DETROIT, MI 48202-2600
Phone number: 313-335-6195
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