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1780081893
BRETT TYLER DEVEREAUX
MIDLAND, MI
NPI
1780081893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI L480722)
Enumeration Date
2014-12-04
Last Update Date
2014-12-04
Business Address
Mr. BRETT TYLER DEVEREAUX ATC
4000 WHITING DR
MIDLAND, MI 48640-6634
Phone number: 989-837-5894
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Mailing Address
Mr. BRETT TYLER DEVEREAUX ATC
414 N SAGINAW RD
MIDLAND, MI 48640-3395
Phone number: 517-936-9239
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