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1538855978
BRIAN PHILIP NIEBUHR
DETROIT, MI
NPI
1538855978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
BRIAN PHILIP NIEBUHR
4160 JOHN R ST STE 615
DETROIT, MI 48201-2022
Phone number: 313-993-8669
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Mailing Address
BRIAN PHILIP NIEBUHR
4119 AVERY PASS
FORT WAYNE, IN 46845-9183
Phone number: 260-615-3626
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