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Individual

MIRANDA DAVINA ABBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1770 FORT ST, LINCOLN PARK, MI 48146-1904
(313) 466-4000
Mailing address
1770 FORT ST, LINCOLN PARK, MI 48146-1904
(313) 466-4000

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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