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Individual

MR. BENJAMIN KNUTE NEVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616
Mailing address
2775 E LANSING DR, EAST LANSING, MI 48823-7755
(517) 332-1616

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
09/26/2016
Last updated
09/26/2016
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