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Individual

DR. REBECCA ANNE MAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
15450 E JEFFERSON AVE STE 140, GROSSE POINTE PARK, MI 48230-2033
(313) 821-0098
(313) 884-9758
Mailing address
1360 WHITTIER RD, GROSSE POINTE PARK, MI 48230-1114
(313) 310-9843
(313) 884-9758

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
6301008126
MI

Other

Enumeration date
12/22/2006
Last updated
07/08/2007
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