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1912685215
SUBHAM MITRA
CANTON, MI
NPI
1912685215
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704370209)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
SUBHAM MITRA RN
43825 MICHIGAN AVE
CANTON, MI 48188-2551
Phone number: 248-788-9286
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Mailing Address
SUBHAM MITRA RN
31185 WELLINGTON DR APT 28203
NOVI, MI 48377-4193
Phone number: 248-946-6248
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