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Individual

JAMAL JASON BEYDOUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-4021
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
(947) 522-1860

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704321072
MI

Other

Enumeration date
12/14/2020
Last updated
07/21/2022
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