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1831711936
ELISHEVA ELLENBERG
WARREN, MI
NPI
1831711936
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704311157)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
ELISHEVA ELLENBERG
11800 E 12 MILE RD
WARREN, MI 48093-3472
Phone number: 773-517-7931
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Mailing Address
ELISHEVA ELLENBERG
16986 HILTON ST
SOUTHFIELD, MI 48075-1915
Phone number: 773-517-7931
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