DEREK KEVIN BENNETT

DETROIT, MI
NPI1770022873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MI  4704180735)
Enumeration Date2017-02-22
Last Update Date2017-02-22
Business Address
-- DEREK KEVIN BENNETT
2547 W 8 MILE RD
DETROIT, MI 48203-1070
Phone number: 248-961-1168
Mailing Address
-- DEREK KEVIN BENNETT
2547 W 8 MILE RD
DETROIT, MI 48203-1070
Phone number: 248-961-1168
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