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Individual

MR. JESSE ROBERT BRINKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
4451 HUNSBERGER AVE NE, GRAND RAPIDS, MI 49525-6126
(616) 363-4857
(616) 361-3494
Mailing address
3740 GRANT ST, HUDSONVILLE, MI 49426-1205
(616) 824-6542
(616) 361-3494

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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