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1053895193
AYESHA MASSEY BENNETT
SAINT CLAIR SHORES, MI
NPI
1053895193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704310793)
Enumeration Date
2018-09-24
Last Update Date
2019-07-01
Business Address
Mrs. AYESHA MASSEY BENNETT FNP-C
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081-2116
Phone number: 586-884-5656
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Mailing Address
Mrs. AYESHA MASSEY BENNETT FNP-C
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081-2116
Phone number:
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