Individual
JESSE AUBIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
264 MONTEBELLO ST. SE 49548, GRAND RAPIDS, MI 49548
(616) 337-0962
Mailing address
264 MONTEBELLO ST SE # 49548, GRAND RAPIDS, MI 49548-4316
(616) 337-0962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MI
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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