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1023414554
KEVIN ROSE
BAY CITY, MI
NPI
1023414554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MI 6401014426)
Enumeration Date
2014-11-11
Last Update Date
2014-11-11
Business Address
Mr. KEVIN ROSE
304 TUSCOLA RD
BAY CITY, MI 48708-6896
Phone number: 989-892-8564
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Mailing Address
Mr. KEVIN ROSE
1545 KEYSTONE AVE
LANSING, MI 48911-4039
Phone number:
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