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1730680406
TITO TIMMONS BENTLEY
DETROIT, MI
NPI
1730680406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QA0600X Clinic/Center, Adult Day Care
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
TITO TIMMONS BENTLEY
19309 GREENFIELD RD
DETROIT, MI 48235-2004
Phone number: 313-300-7177
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Mailing Address
TITO TIMMONS BENTLEY
25681 CODE RD
SOUTHFIELD, MI 48033-5813
Phone number: 313-300-7177
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