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1124274006
STEPHEN PREFONTAINE, DO, PLC
GRAND RAPIDS, MI
NPI
1124274006
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Entity Type
Organization
Authorized Contact
STEPHEN PREFONTAINE
Owner
616-336-7662
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101011668)
Enumeration Date
2008-08-12
Last Update Date
2008-08-12
Business Address
STEPHEN PREFONTAINE, DO, PLC
4081 CASCADE RD SE SUITE A
GRAND RAPIDS, MI 49546-2170
Phone number: 616-336-7662
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Mailing Address
STEPHEN PREFONTAINE, DO, PLC
4081 CASCADE RD SE SUITE A
GRAND RAPIDS, MI 49546-2170
Phone number: 616-336-7662
Copy
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