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KENNETH TARTER
Military Health Care Provider
NPI: 1255039210Individual
Specialties, Licenses & Credentials
Contact & Hours
- Address
- 2004 E LAFAYETTE ST
DETROIT, MI 48207 - Phone
- (248) 508-6039
Quick Facts
- NPI
- 1255039210
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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