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Ronald Debose
NPI 1609129782 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1139 Thomas St Se
Grand Rapids, MI 49506 - Phone
- (616) 459-6817
- Fax
- (616) 459-1930
Registry record
- Primary taxonomy
- Substance Abuse Rehabilitation Facility
324500000X
- Sex
- Male
- Record last updated
- 2012-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan