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1104005149
PAUL LABERTEAUX
GRAND RAPIDS, MI
NPI
1104005149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301002151)
Enumeration Date
2007-10-26
Last Update Date
2007-10-26
Business Address
-- PAUL LABERTEAUX PsyD
4519 CASCADE RD SE
GRAND RAPIDS, MI 49546-3666
Phone number: 616-560-7100
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Mailing Address
-- PAUL LABERTEAUX PsyD
4254 4 MILE RD NE
GRAND RAPIDS, MI 49525-9712
Phone number: 616-560-7100
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