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1760728042
BRIAN WALES
NOVI, MI
NPI
1760728042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703084441)
Enumeration Date
2012-12-14
Last Update Date
2012-12-14
Business Address
-- BRIAN WALES
41621 W 11 MILE RD
NOVI, MI 48375-1804
Phone number: 248-299-0030
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Mailing Address
-- BRIAN WALES
3342 ASH DR #10106
LAKE ORION, MI 48359-2350
Phone number:
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