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1437396819
BRANDON CLINTON ALLEN
DETROIT, MI
NPI
1437396819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
(Licence: MI 432065203)
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
Mr. BRANDON CLINTON ALLEN
12091 SORRENTO ST
DETROIT, MI 48227-3751
Phone number: 313-397-1884
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Mailing Address
Mr. BRANDON CLINTON ALLEN
PO BOX 2172
SOUTHFIELD, MI 48037-2172
Phone number: 313-685-7811
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