COOPER BRADFORD LAURAIN

DETROIT, MI
NPI1568111789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-23
Last Update Date2022-04-19
Business Address
COOPER BRADFORD LAURAIN
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-600-2367
Mailing Address
COOPER BRADFORD LAURAIN
2799 W GRAND BLVD GME OFFICE
DETROIT, MI 48202-2608
Phone number:
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