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Individual

NOUR TRAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9000 E JEFFERSON AVE, DETROIT, MI 48214-4188
(313) 269-2444
Mailing address
PO BOX 1018, DEARBORN, MI 48121-1018

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5302047344
MI

Other

Enumeration date
08/19/2019
Last updated
08/19/2019
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