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1225497084
MIKE BRENNER
JACKSON, MI
NPI
1225497084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-02-22
Last Update Date
2018-06-20
Business Address
MIKE BRENNER D.O.
205 N EAST AVE
JACKSON, MI 49201
Phone number: 517-205-7164
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Mailing Address
MIKE BRENNER D.O.
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-205-7164
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