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1629073036
KEVIN LAVERY
JACKSON, MI
NPI
1629073036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: MI 4301055930)
Enumeration Date
2005-06-14
Last Update Date
2018-09-20
Business Address
KEVIN LAVERY MD
1116 W GANSON ST
JACKSON, MI 49202-4240
Phone number: 517-782-9436
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Mailing Address
KEVIN LAVERY MD
850 W NORTH ST STE 104
JACKSON, MI 49202-3196
Phone number: 877-852-8463
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