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1902570104
BRANDON MICHAEL WILBER
GRAND RAPIDS, MI
NPI
1902570104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601002473)
Enumeration Date
2021-08-03
Last Update Date
2021-08-03
Business Address
Mr. BRANDON MICHAEL WILBER AT, ATC
143 BOSTWICK AVE NE
GRAND RAPIDS, MI 49503-3201
Phone number: 616-234-4000
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Mailing Address
Mr. BRANDON MICHAEL WILBER AT, ATC
11134 S BAILEY VALLEY DR NE
GREENVILLE, MI 48838-8330
Phone number: 616-901-6677
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