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RUSSELL WALTON BATES JR. LLC
LLC
Counselor
NPI: 1043592991Individual
Specialties, Licenses & Credentials
CounselorPrimary
Counselor
Code: 101Y00000X
6401011607(MI)
Contact & Hours
- Address
- 40 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503 - Phone
- (616) 456-1443
Quick Facts
- NPI
- 1043592991
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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