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1154664753
KENNETH JAMES EARLY
DETROIT, MI
NPI
1154664753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0222X Nurse Practitioner, Pediatrics, Critical Care
(Licence: MI 2319119)
Enumeration Date
2013-04-02
Last Update Date
2013-04-02
Business Address
Mr. KENNETH JAMES EARLY CPNP-AC
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-0113
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Mailing Address
Mr. KENNETH JAMES EARLY CPNP-AC
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-0113
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