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1801290309
ANTHONY POLAZZO
GRAND RAPIDS, MI
NPI
1801290309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001008)
Enumeration Date
2014-10-14
Last Update Date
2018-03-27
Business Address
ANTHONY POLAZZO
2300 PLYMOUTH AVE SE
GRAND RAPIDS, MI 49506-5225
Phone number: 616-574-5828
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Mailing Address
ANTHONY POLAZZO
628 BAYBERRY POINTE DR NW APT F
GRAND RAPIDS, MI 49534-4611
Phone number:
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