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1891467155
SHIRIN KOUDSI
BLOOMFIELD HILLS, MI
NPI
1891467155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010857)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
SHIRIN KOUDSI
2337 HERONWOOD DR
BLOOMFIELD HILLS, MI 48302-0835
Phone number: 850-450-9788
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Mailing Address
SHIRIN KOUDSI
2337 HERONWOOD DR
BLOOMFIELD HILLS, MI 48302-0835
Phone number: 850-450-9788
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