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1891256137
KENNETH MICHAEL IERARDI
CLINTON TOWNSHIP, MI
NPI
1891256137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-28
Last Update Date
2019-03-28
Business Address
KENNETH MICHAEL IERARDI DO
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038-3504
Phone number: 978-778-8067
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Mailing Address
KENNETH MICHAEL IERARDI DO
133 IPSWICH RD
TOPSFIELD, MA 01983-1552
Phone number: 978-778-8067
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