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1003400383
TIMOTHY D BERTRAM
BURTON, MI
NPI
1003400383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-26
Last Update Date
2021-02-26
Business Address
Mr. TIMOTHY D BERTRAM
1173 S PACKARD AVE
BURTON, MI 48509-2311
Phone number: 810-348-5923
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Mailing Address
Mr. TIMOTHY D BERTRAM
1173 S PACKARD AVE
BURTON, MI 48509-2311
Phone number: 810-348-5923
Copy
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