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1740601046
BRENT VOGEL
GRAND RAPIDS, MI
NPI
1740601046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001059)
Enumeration Date
2014-01-04
Last Update Date
2014-01-04
Business Address
-- BRENT VOGEL ATC
530 CEDAR RIDGE DR NW APT 3A
GRAND RAPIDS, MI 49544-8512
Phone number: 616-893-8786
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Mailing Address
-- BRENT VOGEL ATC
530 CEDAR RIDGE DR NW APT 3A
GRAND RAPIDS, MI 49544-8512
Phone number:
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