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1144783457
LACEY CRUMBACK
GRAND RAPIDS, MI
NPI
1144783457
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Former Name
LACEY ALDRIGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
LACEY CRUMBACK RD
221 MICHIGAN ST NE STE 200
GRAND RAPIDS, MI 49503-2533
Phone number: 616-267-8950
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Mailing Address
LACEY CRUMBACK RD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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