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1922656321
ELIE MATTA
DEARBORN, MI
NPI
1922656321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302411941)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
ELIE MATTA PharmD
5851 MERCURY DR
DEARBORN, MI 48126-4161
Phone number: 313-441-0194
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Mailing Address
ELIE MATTA PharmD
5438 HARTWELL ST
DEARBORN, MI 48126-3311
Phone number: 313-717-8209
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