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Case Number and Status

Case Number: I-200-17066-493883

Submitted on:

CERTIFIED

on:

Employment

From: 2017-09-01

To: 2020-08-31 (1,095 days)

Address

3230 Eagle Park Drive
Grand Rapids, MI 49525

Phone

6169882229


Attorney Summary

Location
Greenbelt, MD

Job Summary

Job Title
Physician
City and State
Grand Rapids, MI
County
Kent

Soc Code
29-1069.00
Naics Code
Industry Code
621111