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Individual

FADIA MOHAMED LIGHTFOOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
2249 N CANTON CENTER RD, CANTON, MI 48187-2954
(734) 844-3598
(734) 844-1535
Mailing address
49751 FLUSHING AVE, CANTON, MI 48188-1980
(734) 981-5071

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302027012
MI

Other

Enumeration date
04/25/2007
Last updated
07/08/2007
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