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1477561157
CLYDE KENNETH GODIN
DETROIT, MI
NPI
1477561157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302022397)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
Mr. CLYDE KENNETH GODIN
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-3386
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Mailing Address
Mr. CLYDE KENNETH GODIN
47000 GLENHURST DR
CANTON, MI 48187-4708
Phone number: 734-451-0350
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