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1689634461
KENNETH MATASAR
ROYAL OAK, MI
NPI
1689634461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MI 4301032306)
Enumeration Date
2006-03-24
Last Update Date
2007-07-08
Business Address
KENNETH MATASAR
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-898-6067
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Mailing Address
KENNETH MATASAR
3601 W 13 MILE RD 400-FSC/PCS
ROYAL OAK, MI 48073-6712
Phone number:
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