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1124731625
BRENNAN P CARROLL
GRAND RAPIDS, MI
NPI
1124731625
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: MI 85823)
Enumeration Date
2022-12-29
Last Update Date
2022-12-29
Business Address
BRENNAN P CARROLL CTRS
4934 LUXEMBURG ST SE
GRAND RAPIDS, MI 49546-8406
Phone number: 616-215-0444
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Mailing Address
BRENNAN P CARROLL CTRS
PO BOX 1053
ADA, MI 49301-1053
Phone number: 616-215-0444
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