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1376289074
JESSE BRIAN SWANTEK
DETROIT, MI
NPI
1376289074
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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
2022-05-06
Last Update Date
2022-05-06
Business Address
JESSE BRIAN SWANTEK
TOLAN PARK MEDICAL BUILDING 3901 WALTER P. CHRYSLER SERVICE DRIVE
DETROIT, MI 48201
Phone number: 313-577-7523
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Mailing Address
JESSE BRIAN SWANTEK
2114 CLAWSON AVE
ROYAL OAK, MI 48073-3795
Phone number: 248-217-0975
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