ETHAN BRENT CUNNINGHAM

GRAND RAPIDS, MI
NPI1083013577
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601000325)
Enumeration Date2014-08-20
Last Update Date2015-09-01
Business Address
-- ETHAN BRENT CUNNINGHAM ATC
1404 SIGSBEE ST SE
GRAND RAPIDS, MI 49506-2731
Phone number: 616-745-8097
Mailing Address
-- ETHAN BRENT CUNNINGHAM ATC
1404 SIGSBEE ST SE
GRAND RAPIDS, MI 49506-2731
Phone number: 616-745-8097
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