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1376985002
KESA BENNETT
MUSKEGON, MI
NPI
1376985002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703091207)
Enumeration Date
2013-07-23
Last Update Date
2013-07-23
Business Address
-- KESA BENNETT LPN
955 W BROADWAY AVE
MUSKEGON, MI 49441-3521
Phone number: 231-755-0637
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Mailing Address
-- KESA BENNETT LPN
1351 CHESTNUT ST
MUSKEGON, MI 49442-5147
Phone number: 231-755-0637
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