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1013530369
RICHARD ALAN VERSALLE
MUSKEGON, MI
NPI
1013530369
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Other Name
RICK ALAN VERSALLE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
Mr. RICHARD ALAN VERSALLE BS
376 E APPLE AVE
MUSKEGON, MI 49442-3466
Phone number: 231-724-1111
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Mailing Address
Mr. RICHARD ALAN VERSALLE BS
376 E APPLE AVE
MUSKEGON, MI 49442-3466
Phone number: 231-288-2002
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