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1699026872
KENNETH THOMAS LONGTON
SOUTHGATE, MI
NPI
1699026872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: MI 4704129838)
Enumeration Date
2012-09-27
Last Update Date
2012-09-27
Business Address
Mr. KENNETH THOMAS LONGTON RN, BSN
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
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Mailing Address
Mr. KENNETH THOMAS LONGTON RN, BSN
14799 DIX TOLEDO RD
SOUTHGATE, MI 48195-2507
Phone number: 734-324-8326
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