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1982717914
DAVID FREDRICK BROSOFSKE
FORT GRATIOT, MI
NPI
1982717914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
372600000X Adult Companion
Enumeration Date
2006-08-16
Last Update Date
2007-07-08
Business Address
MR. DAVID FREDRICK BROSOFSKE
3847 PINE GROVE AVE SUITE A
FORT GRATIOT, MI 48059-4265
Phone number: 810-984-2250
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Mailing Address
MR. DAVID FREDRICK BROSOFSKE
3218 HICKORY LN
PORT HURON, MI 48060-1831
Phone number: 810-989-2098
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