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1740610559
KENYETTA CLARKE
GRAND BLANC, MI
NPI
1740610559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007550)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- KENYETTA CLARKE
8481 HOLLY RD
GRAND BLANC, MI 48439-1812
Phone number: 810-694-6382
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Mailing Address
-- KENYETTA CLARKE
8481 HOLLY RD
GRAND BLANC, MI 48439
Phone number:
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