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1992002935
KENNETH MICHAEL BUSH
SAINT CLAIR SHORES, MI
NPI
1992002935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302030514)
Enumeration Date
2011-02-25
Last Update Date
2011-02-25
Business Address
Mr. KENNETH MICHAEL BUSH rph
21000 E 12 MILE RD STE 124
SAINT CLAIR SHORES, MI 48081-1116
Phone number: 586-447-5030
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Mailing Address
Mr. KENNETH MICHAEL BUSH rph
21000 E 12 MILE RD STE 124
SAINT CLAIR SHORES, MI 48081-1116
Phone number: 586-447-5030
Copy
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