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1346899002
BRANDON J BURGESS
GRAND RAPIDS, MI
NPI
1346899002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
BRANDON J BURGESS
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
BRANDON J BURGESS
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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