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1265264410
JAMES MONTANA-LEE BASHORE
GRANDVILLE, MI
NPI
1265264410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-08-16
Last Update Date
2024-08-25
Business Address
Mr. JAMES MONTANA-LEE BASHORE
42 44TH ST SW
GRANDVILLE, MI 49418-2177
Phone number: 616-344-4508
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Mailing Address
Mr. JAMES MONTANA-LEE BASHORE
42 44TH ST SW
GRANDVILLE, MI 49418-2177
Phone number: 616-344-4508
Copy
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