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1013436211
COLTON J CNOSSEN
GRAND RAPIDS, MI
NPI
1013436211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
COLTON J CNOSSEN
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
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Mailing Address
COLTON J CNOSSEN
555 CEDAR PINES DR NE
SPARTA, MI 49345-8208
Phone number:
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