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1124498837
DARSHETHIA FOURCHA
GRAND RAPIDS, MI
NPI
1124498837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 193400000x)
Enumeration Date
2015-10-07
Last Update Date
2015-10-07
Business Address
-- DARSHETHIA FOURCHA
816 HOVEY ST SW
GRAND RAPIDS, MI 49504-6228
Phone number: 616-929-3204
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Mailing Address
-- DARSHETHIA FOURCHA
816 HOVEY ST SW
GRAND RAPIDS, MI 49504-6228
Phone number: 616-929-3204
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