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Individual
NADA SALEM
Active
Individual
NADA SALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.004627RX
OH
363A00000X
Physician Assistant
Primary
5601009163
MI
Other
Enumeration date
02/25/2016
Last updated
09/21/2021
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