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1053843425
LISA JEAN TRAVIS
GRAND RAPIDS, MI
NPI
1053843425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-04-03
Last Update Date
2017-04-03
Business Address
Mrs. LISA JEAN TRAVIS
668 3 MILE RD NW
GRAND RAPIDS, MI 49544-8219
Phone number: 616-649-3129
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Mailing Address
Mrs. LISA JEAN TRAVIS
160 SOUTH 168TH AVENUE
HOLLAND, MI 49524
Phone number: 616-886-0649
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