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1588046270
BENNET SAMUEL
SHELBY TOWNSHIP, MI
NPI
1588046270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MI 7101003860)
Enumeration Date
2015-06-18
Last Update Date
2015-06-18
Business Address
BENNET SAMUEL
54105 MICHELE LN
SHELBY TOWNSHIP, MI 48315-1512
Phone number: 586-552-3357
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Mailing Address
BENNET SAMUEL
54105 MICHELE LN
SHELBY TOWNSHIP, MI 48315-1512
Phone number: 586-552-3357
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