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1891350153
BRENNA JOE GALLAGHER
GRAND RAPIDS, MI
NPI
1891350153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
(Licence: MI 81392)
Enumeration Date
2019-05-02
Last Update Date
2019-05-02
Business Address
BRENNA JOE GALLAGHER CTRS
414 BENSON AVE NE APT 1444
GRAND RAPIDS, MI 49503-0023
Phone number: 586-784-8743
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Mailing Address
BRENNA JOE GALLAGHER CTRS
PO BOX 1057
ADA, MI 49301-1057
Phone number:
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