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1891360269
IGNITE 3 LLC
ROSEVILLE, MI
NPI
1891360269
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Entity Type
Organization
Authorized Contact
LISA BROOKS
Owner
352-552-5686
Organization Subpart ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
Enumeration Date
2021-05-26
Last Update Date
2021-05-26
Business Address
IGNITE 3 LLC
28491 UTICA RD
ROSEVILLE, MI 48066-2593
Phone number: 352-552-5686
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Mailing Address
IGNITE 3 LLC
28491 UTICA RD
ROSEVILLE, MI 48066-2593
Phone number: 352-552-5686
Copy
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