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1447849161
SAMUEL LEE BRAAK
GRAND RAPIDS, MI
NPI
1447849161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-01-16
Last Update Date
2021-01-16
Business Address
SAMUEL LEE BRAAK
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-502-6872
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Mailing Address
SAMUEL LEE BRAAK
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number:
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