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1356090021
BRIAN ROBERT DERDERIAN
SHELBY TOWNSHIP, MI
NPI
1356090021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156F00000X Technician/Technologist
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
BRIAN ROBERT DERDERIAN
49970 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317-1347
Phone number: 586-991-6596
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Mailing Address
BRIAN ROBERT DERDERIAN
49970 VAN DYKE AVE
SHELBY TOWNSHIP, MI 48317-1347
Phone number: 586-991-6596
Copy
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