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1821417924
LEILA AKHAVAN SHAHR ASHOUB
SOUTHGATE, MI
NPI
1821417924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006967)
Enumeration Date
2014-04-16
Last Update Date
2015-04-23
Business Address
-- LEILA AKHAVAN SHAHR ASHOUB MS, PA-C
14523 NORTHLINE ROAD
SOUTHGATE, MI 48195
Phone number: 734-324-7800
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Mailing Address
-- LEILA AKHAVAN SHAHR ASHOUB MS, PA-C
2621 HIDDEN WOODS DR
CANTON, MI 48188-2477
Phone number: 315-744-3132
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