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Individual

MR. KEVIN J BOTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6379 DIXIE HWY, BRIDGEPORT, MI 48722-9566
(989) 777-4357
(989) 777-7257
Mailing address
10307 REID RD, SWARTZ CREEK, MI 48473-8518
(810) 535-2281

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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