ETHAN DECOSTA JONES

BINGHAM FARMS, MI
NPI1710644091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156F00000X Technician/Technologist
Enumeration Date2021-11-22
Last Update Date2021-11-22
Business Address
ETHAN DECOSTA JONES
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025-2454
Phone number: 248-712-4266
Mailing Address
ETHAN DECOSTA JONES
32100 TELEGRAPH RD STE 205
BINGHAM FARMS, MI 48025-2454
Phone number: 248-712-4266
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