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Organization
GRAND RIVER BANDS OF OTTAWA INDIANS INC.
Active
Organization
GRAND RIVER BANDS OF OTTAWA INDIANS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD FRANCIS YOB (CHAIRPERSON)
(616) 458-8759
Entity
Organization
Contact information
Practice address
671 DAVIS AVE NW, GRAND RAPIDS, MI 49504-5139
(616) 451-6767
Mailing address
PO BOX 2937, 1251 PLAINFIELD N.E., GRAND RAPIDS, MI 49501-2937
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
410300
MI
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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