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1336589464
ANGELO CARMELO BENVENUTO
GRAND RAPIDS, MI
NPI
1336589464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901004785)
Enumeration Date
2013-07-03
Last Update Date
2013-10-11
Business Address
Dr. ANGELO CARMELO BENVENUTO O.D.
3579 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1635
Phone number: 616-432-3591
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Mailing Address
Dr. ANGELO CARMELO BENVENUTO O.D.
3579 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1635
Phone number: 616-432-3591
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