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Individual

SHANNON DAKROUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11650 BELLEVILLE RD, VAN BUREN TWP, MI 48111-3380
(734) 699-9888
Mailing address
9398 ANNALIA DR, LIVONIA, MI 48150-1058
(405) 361-2041

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F01221220
MI

Other

Enumeration date
02/02/2022
Last updated
02/02/2022
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