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1629674247
BRENT BURNS
GRAND RAPIDS, MI
NPI
1629674247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
BRENT BURNS
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
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Mailing Address
BRENT BURNS
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number:
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