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1508124629
SEAN KENNEDY
DETROIT, MI
NPI
1508124629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MI 4704257486)
Enumeration Date
2012-04-26
Last Update Date
2018-09-18
Business Address
Mr. SEAN KENNEDY CRNA
2799 W GRAND BLVD
DETROIT, MI 48202
Phone number: 800-653-6568
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Mailing Address
Mr. SEAN KENNEDY CRNA
53423 JACLYN DR
SHELBY TWP, MI 48315-1821
Phone number: 586-419-0520
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