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1174743264
ROBERT JAMES BULTEMA
MUSKEGON, MI
NPI
1174743264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 2-00419)
Enumeration Date
2007-04-30
Last Update Date
2007-07-08
Business Address
Mr. ROBERT JAMES BULTEMA LBSW CAC-II
125 E SOUTHERN AVENUE
MUSKEGON, MI 49442
Phone number: 231-724-3699
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Mailing Address
Mr. ROBERT JAMES BULTEMA LBSW CAC-II
2132 RENEER
MUSKEGON, MI 49441
Phone number: 231-759-7224
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