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1194127928
KEVIN MCCLELLAN
YPSILANTI, MI
NPI
1194127928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704303167)
Enumeration Date
2014-09-24
Last Update Date
2021-03-30
Business Address
KEVIN MCCLELLAN CRNA
5301 E HURON RIVER DR
YPSILANTI, MI 48197-1051
Phone number: 734-712-4760
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Mailing Address
KEVIN MCCLELLAN CRNA
5301 E HURON RIVER DR
YPSILANTI, MI 48197-1051
Phone number: 734-712-4760
Copy
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