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1467079350
JACOB ALAN BOL
GRAND RAPIDS, MI
NPI
1467079350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6852093221)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-06-26
Last Update Date
2023-02-24
Business Address
JACOB ALAN BOL
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
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Mailing Address
JACOB ALAN BOL
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
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