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1588918841
EDWARD A BOOKER
GRAND RAPIDS, MI
NPI
1588918841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
(Licence: MI 410376)
Enumeration Date
2012-11-07
Last Update Date
2012-11-07
Business Address
Mr. EDWARD A BOOKER
1740 WILLARD AVE SE
GRAND RAPIDS, MI 49507-2662
Phone number: 616-886-6917
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Mailing Address
Mr. EDWARD A BOOKER
2646 JUNIPER AVE
HOLLAND, MI 49424-8246
Phone number: 616-886-6917
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