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1134558224
CASSANDRA JEAN FASE
GRAND RAPIDS, MI
NPI
1134558224
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2013-11-08
Last Update Date
2013-11-08
Business Address
-- CASSANDRA JEAN FASE
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
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Mailing Address
-- CASSANDRA JEAN FASE
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
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