LARISA IACOBAN

CLINTON TOWNSHIP, MI
NPI1912660929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601011348)
Enumeration Date2021-10-17
Last Update Date2024-12-16
Business Address
LARISA IACOBAN
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038-1109
Phone number: 586-745-3006
Mailing Address
LARISA IACOBAN
43361 COMMONS DR
CLINTON TOWNSHIP, MI 48038-1109
Phone number: 586-745-3006
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