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Individual

MARY ATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
30935 5 MILE RD, LIVONIA, MI 48154-3600
(734) 422-3784
Mailing address
7278 SILVER LEAF LN, WEST BLOOMFIELD, MI 48322-3330

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
21267020901
MI

Other

Enumeration date
04/22/2022
Last updated
04/22/2022
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