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1972964203
KIRK D. PRESCOTT
DETROIT, MI
NPI
1972964203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2016-03-15
Last Update Date
2016-03-15
Business Address
Mr. KIRK D. PRESCOTT AODA
300 W MCNICHOLS RD
DETROIT, MI 48203-2703
Phone number: 313-867-8015
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Mailing Address
Mr. KIRK D. PRESCOTT AODA
16055 EDWARD ST
HIGHLAND PARK, MI 48203-2717
Phone number: 313-867-8015
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