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1609117878
MARK QUENNEVILLE
LANSING, MI
NPI
1609117878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
Additional Taxonomies
224L00000X Pedorthist
Enumeration Date
2013-03-12
Last Update Date
2013-03-12
Business Address
-- MARK QUENNEVILLE CO, CPed
4424 S PENNSYLVANIA AVE
LANSING, MI 48910-7625
Phone number: 517-394-5850
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Mailing Address
-- MARK QUENNEVILLE CO, CPed
4424 S PENNSYLVANIA AVE
LANSING, MI 48910-7625
Phone number: 517-394-5850
Copy
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