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1104488105
TRAVIS GORDON
GRAND RAPIDS, MI
NPI
1104488105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: MI 6451017462)
Enumeration Date
2019-07-01
Last Update Date
2021-12-22
Business Address
TRAVIS GORDON
4867 E BELTLINE AVE NE BUILDING #1, SUITE 4
GRAND RAPIDS, MI 49525
Phone number: 616-232-6050
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Mailing Address
TRAVIS GORDON
1001 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525-5803
Phone number:
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