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1407022874
ANDRE RUBIN FIELDS
PORTAGE, MI
NPI
1407022874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC1900X Psychologist, Counseling
(Licence: MI 6301013802)
Enumeration Date
2008-05-05
Last Update Date
2008-05-05
Business Address
Mr. ANDRE RUBIN FIELDS tllp
8175 CREEKSIDE DR SUITE 264
PORTAGE, MI 49024-5377
Phone number: 269-321-5033
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Mailing Address
Mr. ANDRE RUBIN FIELDS tllp
1336 ROSEWOOD AVE SE
GRAND RAPIDS, MI 49506-3931
Phone number: 616-734-9779
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