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1255039210
KENNETH TARTER
DETROIT, MI
NPI
1255039210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171000000X Military Health Care Provider
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
KENNETH TARTER
2004 E LAFAYETTE ST
DETROIT, MI 48207-3949
Phone number: 248-508-6039
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Mailing Address
KENNETH TARTER
2004 E LAFAYETTE ST
DETROIT, MI 48207-3949
Phone number:
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