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1891405031
PURE HEALTH OF MICHIGAN
SOUTHFIELD, MI
NPI
1891405031
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Entity Type
Organization
Authorized Contact
ANTOINE TUCKER
Office Director
248-233-4076
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2022-11-29
Last Update Date
2022-12-26
Business Address
PURE HEALTH OF MICHIGAN
17800 NORTHLAND PARK CT
SOUTHFIELD, MI 48075-4304
Phone number: 248-233-4076
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Mailing Address
PURE HEALTH OF MICHIGAN
17800 NORTHLAND PARK CT
SOUTHFIELD, MI 48075-4304
Phone number: 248-233-4076
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