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1306397864
JOHN BERNAL
GRAND RAPIDS, MI
NPI
1306397864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MI 2601000926)
Enumeration Date
2016-10-20
Last Update Date
2016-10-20
Business Address
JOHN BERNAL ATC
130 FULTON ST W #111
GRAND RAPIDS, MI 49503-2682
Phone number: 616-831-6422
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Mailing Address
JOHN BERNAL ATC
130 FULTON ST W #111
GRAND RAPIDS, MI 49503-2682
Phone number: 616-831-6422
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