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Individual

ALI K AYOUB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
23455 MICHIGAN AVE, DEARBORN, MI 48124-1908
(734) 333-8001
Mailing address
22729 COBB ST, DEARBORN, MI 48128-1314
(313) 415-6706

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704311506
MI

Other

Enumeration date
05/13/2019
Last updated
06/10/2019
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