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1609620970
DJORDJE JAKSIC
GRAND RAPIDS, MI
NPI
1609620970
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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
2024-04-15
Last Update Date
2024-04-15
Business Address
DJORDJE JAKSIC
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2508
Phone number: 616-233-1678
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Mailing Address
DJORDJE JAKSIC
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2508
Phone number: 616-233-1678
Copy
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