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1003319344
GEORGE BRUCE MINOR
PLYMOUTH, MI
NPI
1003319344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
GEORGE BRUCE MINOR
271 S MAIN ST
PLYMOUTH, MI 48170-1637
Phone number: 734-495-4055
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Mailing Address
GEORGE BRUCE MINOR
271 S MAIN ST
PLYMOUTH, MI 48170-1637
Phone number: 734-495-4055
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