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1124855168
CHANTELLE TAREA STOUFFIS
GRAND RAPIDS, MI
NPI
1124855168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703123727)
Enumeration Date
2024-09-16
Last Update Date
2024-09-16
Business Address
CHANTELLE TAREA STOUFFIS LPN
1256 WALKER AVE NW
GRAND RAPIDS, MI 49504-4067
Phone number: 616-451-2039
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Mailing Address
CHANTELLE TAREA STOUFFIS LPN
3451 CRYSTAL RIVER ST SW
WYOMING, MI 49418-8815
Phone number: 616-930-2661
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