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1740848316
BRYAN DOUGLAS BROOKS
WYOMING, MI
NPI
1740848316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI F05190794)
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
Mr. BRYAN DOUGLAS BROOKS NP
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9686
Phone number: 616-252-7145
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Mailing Address
Mr. BRYAN DOUGLAS BROOKS NP
942 SHERMAN ST SE
GRAND RAPIDS, MI 49506-2608
Phone number: 810-357-6326
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