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1134351224
KETANKUMAR MADHABHAI PATEL
GRAND BLANC, MI
NPI
1134351224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302034701)
Enumeration Date
2009-08-21
Last Update Date
2009-08-21
Business Address
-- KETANKUMAR MADHABHAI PATEL B.PHARM
5370 E HILL RD
GRAND BLANC, MI 48439-8622
Phone number: 810-694-4775
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Mailing Address
-- KETANKUMAR MADHABHAI PATEL B.PHARM
4300 NEWARK CIR
GRAND BLANC, MI 48439-2510
Phone number: 810-953-0362
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