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1821317249
CARLA DIANE BIBART
SOUTHFIELD, MI
NPI
1821317249
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005302)
Enumeration Date
2010-05-25
Last Update Date
2018-12-05
Business Address
CARLA DIANE BIBART PA-C
22301 FOSTER WINTER DRIVE FLOOR 1
SOUTHFIELD, MI 48075-3713
Phone number: 248-849-3321
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Mailing Address
CARLA DIANE BIBART PA-C
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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