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1275880353
GLENN BREUKER
GRAND RAPIDS, MI
NPI
1275880353
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201002302)
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
-- GLENN BREUKER OTR/L
1471 GRACE ST SE
GRAND RAPIDS, MI 49506-1678
Phone number: 616-913-2006
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Mailing Address
-- GLENN BREUKER OTR/L
1471 GRACE ST SE
GRAND RAPIDS, MI 49506-1678
Phone number: 616-913-2006
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