John R Debruyne II M.S.W., M.B.A

NPI 1326138595 - Social Worker - 1041C0700X

NPI Details
NPI 1326138595
Gender Male
Enumeration Date 10/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6833 SYLVANIA PETERSBURG RD
OTTAWA LAKE MI, 49267-9523, US
Phone (734) 854-6207
Fax (419) 824-1558
Business Location
6833 SYLVANIA PETERSBURG RD
OTTAWA LAKE MI, 49267-9523, US
Phone (734) 854-6207
Fax (419) 824-1558
Toxanomy
Taxonomy Code 1041C0700X
License State Ohio
License Number I-0004362
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According to our database, Mr. John R Debruyne II M.S.W., M.B.A NPI is 1326138595, taxonomy code is 1041C0700X and license number is I-0004362, license state is located at Ohio. John R Debruyne II M.S.W., M.B.A physically located at 6833 Sylvania Petersburg Rd, Ottawa Lake MI, 49267-9523. NPI Number John R Debruyne II M.S.W., M.B.A has the Individual type.

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1326138595 NPI number is provided on an as is basis without warranty of any kind. 1326138595 is maintained by the National Plan & Provider Enumeration System. The contents of John R Debruyne II M.S.W., M.B.A are for informational purposes only.