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1902036304
SURBURBAN LLC
SOUTHFIELD, MI
NPI
1902036304
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Entity Type
Organization
Authorized Contact
CHARRISA NADINE WILLIAMS
Owner
313-837-0560
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2009-07-20
Last Update Date
2012-11-28
Business Address
SURBURBAN LLC
20905 GREENFIELD RD SUITE 203
SOUTHFIELD, MI 48075-5360
Phone number: 313-837-0560
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Mailing Address
SURBURBAN LLC
PO BOX 760128
LATHRUP VILLAGE, MI 48076-0128
Phone number:
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