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Individual

MR. BRIAN THOMAS MABIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
42309 OAKLAND DR, CANTON, MI 48188-5218
(248) 448-4815
Mailing address
42309 OAKLAND DR, CANTON, MI 48188-5218
(248) 448-4815

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025416
MI

Other

Enumeration date
05/08/2010
Last updated
05/08/2010
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