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1912660929
LARISA IACOBAN
DETROIT, MI
NPI
1912660929
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-10-17
Last Update Date
2021-10-17
Business Address
LARISA IACOBAN
4001 W MCNICHOLS RD
DETROIT, MI 48221-3038
Phone number: 313-993-1245
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Mailing Address
LARISA IACOBAN
4001 W MCNICHOLS RD
DETROIT, MI 48221-3038
Phone number: 313-993-1245
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