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1942912027
CODY JAY TANIS
GRAND RAPIDS, MI
NPI
1942912027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
CODY JAY TANIS
120 STEVENS ST SW
GRAND RAPIDS, MI 49507-1526
Phone number: 855-832-6727
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Mailing Address
CODY JAY TANIS
2170 17 MILE RD NE
CEDAR SPRINGS, MI 49319-8458
Phone number: 616-213-7862
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