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1033640131
KATHLEEN MARIE SCHANER-TIETZ
GRAND RAPIDS, MI
NPI
1033640131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2017-03-21
Last Update Date
2022-06-07
Business Address
Ms. KATHLEEN MARIE SCHANER-TIETZ BS, QIDP
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
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Mailing Address
Ms. KATHLEEN MARIE SCHANER-TIETZ BS, QIDP
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-336-3909
Copy
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