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1013063114
PAUL R KENNEDY
LANSING, MI
NPI
1013063114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901003763)
Enumeration Date
2007-01-25
Last Update Date
2021-01-18
Business Address
PAUL R KENNEDY OD
2117 E GRAND RIVER AVE
LANSING, MI 48912-3231
Phone number: 517-485-2213
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Mailing Address
PAUL R KENNEDY OD
PO BOX 208177
DALLAS, TX 75320-8177
Phone number: 636-200-4393
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