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Individual

MR. CORY MICHAEL O'BRIEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH

Contact information

Practice address
520 N MAIN ST, PERRY, MI 48872
(517) 625-8640
(517) 625-8642
Mailing address
8627 DOE PASS, LANSING, MI 48917-8840

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302029125
MI

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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