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1427247097
MARK N ANDERSON
NUNICA, MI
NPI
1427247097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2007-10-19
Last Update Date
2007-10-19
Business Address
MR. MARK N ANDERSON BA
17160 130TH AVE
NUNICA, MI 49448-9450
Phone number: 616-847-4460
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Mailing Address
MR. MARK N ANDERSON BA
17160 130TH AVE
NUNICA, MI 49448-9450
Phone number: 616-847-4460
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