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1629430509
LAUREN BENNETT
DETROIT, MI
NPI
1629430509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704270449)
Enumeration Date
2016-03-22
Last Update Date
2016-03-22
Business Address
LAUREN BENNETT
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number: 313-576-8529
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Mailing Address
LAUREN BENNETT
4100 JOHN R ST
DETROIT, MI 48201-2013
Phone number:
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