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1104200740
TRISTAM CRAIG
FLINT, MI
NPI
1104200740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6803086719)
Enumeration Date
2015-07-14
Last Update Date
2015-07-14
Business Address
-- TRISTAM CRAIG SST
4400 S SAGINAW ST STE 1460
FLINT, MI 48507-2664
Phone number: 810-237-0799
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Mailing Address
-- TRISTAM CRAIG SST
585 JEWETT RD
MASON, MI 48854-8729
Phone number: 517-676-5405
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