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1356051874
KENNETH LAESSER
DETROIT, MI
NPI
1356051874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MI 4704309094)
Enumeration Date
2022-11-28
Last Update Date
2022-11-28
Business Address
KENNETH LAESSER
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
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Mailing Address
KENNETH LAESSER
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number:
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