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1417211301
BRIAN LECLEIR
GRAND RAPIDS, MI
NPI
1417211301
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301101263)
Enumeration Date
2012-06-26
Last Update Date
2012-06-26
Business Address
-- BRIAN LECLEIR
100 MICHIGAN ST NE MC #13
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-0073
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Mailing Address
-- BRIAN LECLEIR
2590 KNIGHTSBRIDGE RD SE
GRAND RAPIDS, MI 49546-6755
Phone number:
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