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1801293865
WILLIAM JASON BURGESS
ZEELAND, MI
NPI
1801293865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601001292)
Enumeration Date
2014-11-19
Last Update Date
2014-11-19
Business Address
-- WILLIAM JASON BURGESS MS, AT, ATC, CSCS
3333 96TH AVE
ZEELAND, MI 49464-9721
Phone number: 616-748-3129
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Mailing Address
-- WILLIAM JASON BURGESS MS, AT, ATC, CSCS
3333 96TH AVE
ZEELAND, MI 49464-9721
Phone number: 616-748-3129
Copy
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