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1124237862
KEVIN DANIEL
DETROIT, MI
NPI
1124237862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- KEVIN DANIEL ACC
12010 LINWOOD ST
DETROIT, MI 48206-1108
Phone number: 313-867-1090
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Mailing Address
-- KEVIN DANIEL ACC
15856 PARKSIDE ST
DETROIT, MI 48238-4104
Phone number: 313-334-2559
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