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Individual

MRS. KELLY SUE HERRIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 MONROE ST, ALLEGAN, MI 49010-1363
(269) 673-6749
Mailing address
6092 W B AVE, PLAINWELL, MI 49080-9735
(269) 382-4551

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302032580
MI

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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