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1831604396
SPENCER EDMUND MOORE
GRAND RAPIDS, MI
NPI
1831604396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-12-06
Last Update Date
2017-12-06
Business Address
SPENCER EDMUND MOORE
1260 EKHART ST NE
GRAND RAPIDS, MI 49503-1380
Phone number: 616-942-2110
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Mailing Address
SPENCER EDMUND MOORE
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
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