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1396252078
DANIELLE K BRODBERG
GRAND RAPIDS, MI
NPI
1396252078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001968)
Enumeration Date
2018-01-04
Last Update Date
2018-01-04
Business Address
DANIELLE K BRODBERG AT, ATC
2516 NORMANDY DR SE APT 302C
GRAND RAPIDS, MI 49506-7947
Phone number: 517-977-5432
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Mailing Address
DANIELLE K BRODBERG AT, ATC
2516 NORMANDY DR SE APT 302C
GRAND RAPIDS, MI 49506-7947
Phone number: 517-977-5432
Copy
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