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1801854344
JOSE TAD-Y EDURESE
JACKSON, MI
NPI
1801854344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301032704)
Enumeration Date
2006-05-03
Last Update Date
2009-01-15
Business Address
-- JOSE TAD-Y EDURESE MD
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-788-4800
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Mailing Address
-- JOSE TAD-Y EDURESE MD
DEPARTMENT 272801 PO BOX 67000
DETROIT, MI 48267-2728
Phone number: 517-782-9401
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