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1164768065
NICHOLAS RUBEN DEBERNARDI
JENISON, MI
NPI
1164768065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301015230)
Enumeration Date
2012-12-20
Last Update Date
2012-12-20
Business Address
Dr. NICHOLAS RUBEN DEBERNARDI Ph. D.
1836 BALDWIN ST
JENISON, MI 49428-8901
Phone number: 616-457-0016
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Mailing Address
Dr. NICHOLAS RUBEN DEBERNARDI Ph. D.
1836 BALDWIN ST
JENISON, MI 49428-8901
Phone number: 616-457-0016
Copy
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