Individual
KYLER ROSS DEBRUYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1932 CEDARBROOK DRIVE, JENISON, MI 49428
(616) 550-1344
Mailing address
1932 CEDARBROOK DRIVE, JENISON, MI 49428
(616) 550-1344
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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