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1154899631
FERNANDO DAVIS
GRAND RAPIDS, MI
NPI
1154899631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2018-11-02
Last Update Date
2018-11-02
Business Address
FERNANDO DAVIS
1115 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-7775
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Mailing Address
FERNANDO DAVIS
3805 RAVINEWOOD CIR SE
GRAND RAPIDS, MI 49508-8882
Phone number:
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