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1134863772
BENEDICT JOHN FREDERICK
LIVONIA, MI
NPI
1134863772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-20
Last Update Date
2022-04-20
Business Address
BENEDICT JOHN FREDERICK
19000 ST JOES PKWY STE 310
LIVONIA, MI 48152-1477
Phone number: 734-743-4540
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Mailing Address
BENEDICT JOHN FREDERICK
222 E FRANK ST
KALAMAZOO, MI 49007-3515
Phone number: 410-615-8558
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