CASSANDRA JEAN FASE

GRAND RAPIDS, MI
NPI1134558224
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2013-11-08
Last Update Date2013-11-08
Business Address
-- CASSANDRA JEAN FASE
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
Mailing Address
-- CASSANDRA JEAN FASE
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
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