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1912734492
ETHAN GLENN BOND
WATERFORD, MI
NPI
1912734492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-18
Last Update Date
2024-09-18
Business Address
ETHAN GLENN BOND
279 SUMMIT DR
WATERFORD, MI 48328-3364
Phone number: 248-510-0106
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Mailing Address
ETHAN GLENN BOND
818 S LEROY ST
FENTON, MI 48430-2911
Phone number: 810-336-1692
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