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1124702303
LATEIA DENISE PRYOR-BANKS
GRAND RAPIDS, MI
NPI
1124702303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
LATEIA DENISE PRYOR-BANKS
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number: 855-407-7575
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Mailing Address
LATEIA DENISE PRYOR-BANKS
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number:
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