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1295441707
BRENT DOORNBOS
GRAND RAPIDS, MI
NPI
1295441707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
171400000X Health & Wellness Coach
Enumeration Date
2023-01-27
Last Update Date
2023-03-15
Business Address
BRENT DOORNBOS
1440 FULLER AVE SE
GRAND RAPIDS, MI 49507-2191
Phone number: 616-980-5390
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Mailing Address
BRENT DOORNBOS
320 COMMERCE AVE SW
GRAND RAPIDS, MI 49503-4101
Phone number: 616-258-7599
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