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1194286278
JUSTIN JOSEPH INGRAHAM
GRAND RAPIDS, MI
NPI
1194286278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-29
Last Update Date
2021-02-25
Business Address
JUSTIN JOSEPH INGRAHAM
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506-3155
Phone number: 248-622-1595
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Mailing Address
JUSTIN JOSEPH INGRAHAM
10897 48TH AVE BUILDING Z, APARTMENT 6, ALLENDALE, MI,
ALLENDALE, MI 49401
Phone number: 231-590-8982
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