KENT JAMES BALLIET

GRAND RAPIDS, MI
NPI1831310259
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302027315)
Enumeration Date2007-05-02
Last Update Date2008-01-23
Business Address
-- KENT JAMES BALLIET RPH
2425 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1956
Phone number: 616-365-6033
Mailing Address
-- KENT JAMES BALLIET RPH
2425 ALPINE AVE NW
GRAND RAPIDS, MI 49544-1956
Phone number: 616-365-6033
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