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1932524337
MARILYN LASOVAGE
DEARBORN, MI
NPI
1932524337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: MI 4301037551)
Enumeration Date
2014-02-22
Last Update Date
2014-02-22
Business Address
-- MARILYN LASOVAGE M.D.
24911 NEWTON ST
DEARBORN, MI 48124-1557
Phone number: 313-562-6209
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Mailing Address
-- MARILYN LASOVAGE M.D.
24911 NEWTON ST
DEARBORN, MI 48124-1557
Phone number:
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