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1215316054
BRYCE SCHUPBACH
DETROIT, MI
NPI
1215316054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-05-27
Last Update Date
2015-05-27
Business Address
BRYCE SCHUPBACH
51 ADELAIDE ST
DETROIT, MI 48201-3110
Phone number: 248-462-1289
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Mailing Address
BRYCE SCHUPBACH
51 ADELAIDE ST
DETROIT, MI 48201-3110
Phone number: 248-462-1289
Copy
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