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Individual

SIMBA MUJURU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7115 ORCHARD LAKE RD STE 220, WEST BLOOMFIELD, MI 48322-3655
(248) 432-0556
Mailing address
7115 ORCHARD LAKE RD STE 220, WEST BLOOMFIELD, MI 48322-3655
(248) 432-0556

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MI

Other

Enumeration date
03/21/2019
Last updated
03/21/2019
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